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Individual

DR. RUSSELL ALLEN DYLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6545 FRANCE AVE S, SUITE #190, EDINA, MN 55435-2131
(952) 922-6949
Mailing address
6545 FRANCE AVE S STE 190, SUITE #190, EDINA, MN 55435-2184
(952) 922-6949

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D12016
MN

Other

Enumeration date
06/11/2007
Last updated
11/17/2016
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