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Individual

DR. IAN C FRYKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
625 E NICOLLET BLVD, SUITE 201, BURNSVILLE, MN 55337
(952) 435-0321
(952) 435-0369
Mailing address
625 E NICOLLET BLVD, SUITE 201, BURNSVILLE, MN 55337
(952) 435-0321
(952) 435-0369

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7960
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22713FR
BCBS
MN
05
367013900
MN
01
851144
UNITED CANCORDIA
Enumeration date
06/26/2006
Last updated
06/08/2016
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