Advancia Dental | |
1625 Radio Dr Suite 170 Woodbury MN 55125-9407 | |
(651) 207-9660 | |
Not Available |
Full Name | Advancia Dental |
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Speciality | Dentist - General Practice |
Location | 1625 Radio Dr, Woodbury, Minnesota |
Authorized Official Name and Position | Haitham Mosly (PRESIDENT) |
Authorized Official Contact | 6512079660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advancia Dental 3154 Meadow Brook Dr Woodbury MN 55125-4308 Ph: (651) 207-9660 | Advancia Dental 1625 Radio Dr Suite 170 Woodbury MN 55125-9407 Ph: (651) 207-9660 |
NPI Number | 1124284732 |
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Provider Enumeration Date | 08/03/2008 |
Last Update Date | 08/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124284732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D12156 (Minnesota) | Primary |
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