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Individual

DR. ANDREA K RUBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3345 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2039
(952) 929-9450
Mailing address
3345 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2039
(952) 929-9450

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12985
MN

Other

Enumeration date
06/17/2011
Last updated
06/11/2012
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