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Individual

DR. KENT WALTER FRETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS PA

Contact information

Practice address
605 HILLCREST, SUITE 200, OWATONNA, MN 55060
(507) 451-6294
(507) 451-8414
Mailing address
605 HILLCREST, SUITE 200, OWATONNA, MN 55060
(507) 451-6294
(507) 451-8414

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10703
MN
1223G0001X
General Practice Dentistry
998
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38A95FR
BCBS
MN
Enumeration date
11/22/2006
Last updated
07/08/2007
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