Individual
DR. MARK C FRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10732 VIRGINIA PLZ, LA VISTA, NE 68128
(402) 991-7980
(402) 509-1578
Mailing address
10732 VIRGINIA PLZ, LA VISTA, NE 68128
(402) 991-7980
(402) 509-1578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6225
NE
Other
Enumeration date
03/23/2006
Last updated
11/03/2023
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