Advanced Dentistry Inc.
NPI #1760693972 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1760693972
- Entity Type
- Organization
- Organization Name
- Advanced Dentistry Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5020 MINNETONKA BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2255
- Phone
- (952) 285-1677
Authorized Official
- Name
- RITA LYANSKY, D.D.S.
- Title
- CEO
- Phone
- (952) 285-1677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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