| Mark Frill Dds Pc | |
|
9731 Giles Road Lavista NE 68128-2930 | |
| (402) 537-4620 | |
| (402) 537-4346 |
| Full Name | Mark Frill Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9731 Giles Road, Lavista, Nebraska |
| Authorized Official Name and Position | Mark Christopher Frill (OWNER) |
| Authorized Official Contact | 4026990229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Frill Dds Pc 9731 Giles Road Lavista NE 68128-2930 Ph: (402) 537-4620 | Mark Frill Dds Pc 9731 Giles Road Lavista NE 68128-2930 Ph: (402) 537-4620 |
| NPI Number | 1144687864 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144687864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6225 (Nebraska) | Primary |
Rainbow Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8041 S 83rd Ave, Lavista, NE 68128 Phone: 402-884-1174 Fax: 402-884-5567 |