Advance Family Dental

NPI 1053591255 - Clinic/Center - 261QD0000X

NPI Details
NPI 1053591255
Enumeration Date 11/06/2007
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MOLLY MOLLY
Position OFFICE MANAGER
Phone (651) 482-1122
Fax (651) 766-2557
Practice Location
925 COUNTY ROAD E E
SUITE 185
VADNAIS HEIGHTS MN, 55127-7179, US
Phone (651) 482-1122
Fax (651) 766-2557
Business Location
925 COUNTY ROAD E E
SUITE 185
VADNAIS HEIGHTS MN, 55127-7179, US
Phone (651) 482-1122
Fax (651) 766-2557
Toxanomy
Taxonomy Code 261QD0000X
License State Minnesota
License Number 12387
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According to our database, Advance Family Dental NPI is 1053591255, taxonomy code is 261QD0000X and license number is 12387, license state is located at Minnesota. Advance Family Dental physically located at 925 County Road E E, Vadnais Heights MN, 55127-7179. NPI Number 1033115704 has the healthcare provider type.

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1053591255 NPI number is provided on an as is basis without warranty of any kind. 1053591255 is maintained by the National Plan & Provider Enumeration System. The contents of Advance Family Dental are for informational purposes only.