Organization
REYNOLDS J. FISCHBACH II, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNOLDS J FISCHBACH II D.D.S. (PRESIDENT)
(651) 698-0848
Entity
Organization
Contact information
Practice address
483 BRIMHALL ST, SAINT PAUL, MN 55116-1508
(651) 698-0848
(651) 698-0091
Mailing address
483 BRIMHALL ST, SAINT PAUL, MN 55116-1508
(651) 698-0848
(651) 698-0091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5017
MN
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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