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NPI Profile for Dr RUSSELL A DYLLA in EDINA, MN.
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Periodontics |
1223P0300X |
| NPI # | 1710180294 |
|
| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 06/11/2007 | |
| Last updated | 11/17/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RUSSELL A DYLLA
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RUSSELL A DYLLA, DDS