Advancia Dental

NPI #1124284732 in Woodbury, Minnesota

Provider Information

NPI Number
1124284732
Entity Type
Organization
Organization Name
Advancia Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 3, 2008
Last Updated
Aug 3, 2008

Practice Location

Address
1625 RADIO DR
Address 2
SUITE 170
ZIP Code
55125-9407
Phone
(651) 207-9660

Authorized Official

Name
DR. HAITHAM MOSLY, DMD
Title
PRESIDENT
Phone
(651) 207-9660

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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