Organization
JANICE O. FREDERICK, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE OBERG FREDERICK D.D.S. (OWNER)
(612) 866-7300
Entity
Organization
Contact information
Practice address
6410 NICOLLET AVE, RICHFIELD, MN 55423-1613
(612) 866-7300
Mailing address
6410 NICOLLET AVE, RICHFIELD, MN 55423-1613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9631
MN
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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