Janice O. Frederick, D.d.s.,p.a.

NPI #1104978279 in Richfield, Minnesota

Provider Information

NPI Number
1104978279
Entity Type
Organization
Organization Name
Janice O. Frederick, D.d.s.,p.a.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 17, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
6410 NICOLLET AVE
ZIP Code
55423-1613
Phone
(612) 866-7300

Authorized Official

Name
DR. JANICE OBERG FREDERICK, D.D.S.
Title
OWNER
Phone
(612) 866-7300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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