Organization
MARK FRILL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHRISTOPHER FRILL D.D.S. (OWNER)
(402) 699-0229
Entity
Organization
Contact information
Practice address
9731 GILES ROAD, LAVISTA, NE 68128-2930
(402) 537-4620
(402) 537-4346
Mailing address
9731 GILES ROAD, LAVISTA, NE 68128-2930
(402) 537-4620
(402) 537-4346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6225
NE
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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