Advanced Dental Group
NPI #1275707580 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1275707580
- Entity Type
- Organization
- Organization Name
- Advanced Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Apr 17, 2008
Practice Location
- Address
- 3909 SILVER LAKE RD NE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55421-4352
- Phone
- (612) 789-3573
Authorized Official
- Name
- RAYMOND A HELLICKSON, D.D.S.
- Title
- DENTIST/OWNER
- Phone
- (612) 789-3573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Periodontics — Periodontics |
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