Organization
MARSHALL DENTAL EXCELLENCE PLLC
Active
Other names
John W Frerich DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW FRERICH DDS (OWNER)
(507) 537-1052
Entity
Organization
Contact information
Practice address
1106 EAST COLLEGE DR, MARSHALL, MN 56258
(507) 537-1052
(507) 537-0349
Mailing address
1106 EAST COLLEGE DR, MARSHALL, MN 56258
(507) 537-1052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10218
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113322500
—
MN
Enumeration date
11/06/2006
Last updated
01/21/2020
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