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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

F C REQUA DDS PA

Active Organization

F C REQUA DDS PA is a General Dentistry organization located in AUSTIN, Minnesota. NPI 1407930415 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · AUSTIN, MN

Registration Details

NPI Number
1407930415
Provider Type
Organization
NPI Issued
Oct 25, 2006 (19.818121150153 yrs)
Last Updated
Aug 22, 2020
License
6155 (MN)

Practice Information

Address
400 3RD AVE NW
AUSTIN, MN, 55912
Browse MN providers · Browse ZIP 55912
Phone
5074331641
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in AUSTIN, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.