| Advanced Dental Care Services | |
|
2363 Commerce Blvd Mound MN 55364-1425 | |
| (952) 472-1182 | |
| Not Available |
| Full Name | Advanced Dental Care Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2363 Commerce Blvd, Mound, Minnesota |
| Authorized Official Name and Position | Mazen Manla (DENTIST) |
| Authorized Official Contact | 9524721182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Services 2363 Commerce Blvd Mound MN 55364-1425 Ph: (952) 472-1182 | Advanced Dental Care Services 2363 Commerce Blvd Mound MN 55364-1425 Ph: (952) 472-1182 |
| NPI Number | 1083788574 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083788574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D 11855 (Minnesota) | Primary |
West Lakes Dentistry, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 5205 Shoreline Dr, Mound, MN 55364 Phone: 952-472-7717 |