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Contact Information

ADVANCIA DENTAL
1625 RADIO DR
SUITE 170
WOODBURY, MN55125-9407
 Phone: 651-207-9660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCIA DENTAL · (Female)

NPI # 1124284732
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2008
Last updated 08/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D12156
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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