Fredrick Allis D.D.S.

NPI 1023113156 - Dentist - 1223G0001X

NPI Details
NPI 1023113156
Gender Male
Enumeration Date 09/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5346 PENN AVE S
MINNEAPOLIS MN, 55419-1065, US
Phone (612) 922-0894
Fax (612) 922-1352
Business Location
5346 PENN AVE S
MINNEAPOLIS MN, 55419-1065, US
Phone (612) 922-0894
Fax (612) 922-1352
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 10258
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According to our database, Dr. Fredrick Allis D.D.S. NPI is 1023113156, taxonomy code is 1223G0001X and license number is 10258, license state is located at Minnesota. Fredrick Allis D.D.S. physically located at 5346 Penn Ave S, Minneapolis MN, 55419-1065. NPI Number Fredrick Allis D.D.S. has the Individual type.

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1023113156 NPI number is provided on an as is basis without warranty of any kind. 1023113156 is maintained by the National Plan & Provider Enumeration System. The contents of Fredrick Allis D.D.S. are for informational purposes only.