F C Requa DDS PA
NPI #1407930415 in Austin, Minnesota
Provider Information
- NPI Number
- 1407930415
- Entity Type
- Organization
- Organization Name
- F C Requa DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- FREDERICK C REQUA, DDS
- Title
- PRES
- Phone
- (507) 433-1641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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