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1710180294
RUSSELL ALLEN DYLLA
EDINA, MN
NPI
1710180294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MN D12016)
Enumeration Date
2007-06-11
Last Update Date
2016-11-17
Business Address
Dr. RUSSELL ALLEN DYLLA DDS
6545 FRANCE AVE S SUITE #190
EDINA, MN 55435-2131
Phone number: 952-922-6949
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Mailing Address
Dr. RUSSELL ALLEN DYLLA DDS
6545 FRANCE AVE S STE 190 SUITE #190
EDINA, MN 55435-2184
Phone number: 952-922-6949
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