Individual
ANDRADA LAVINIA HRDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 241-1000
(651) 241-1138
Mailing address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 241-1000
(651) 241-1138
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
906414
CO
124Q00000X
Dental Hygienist
Primary
H8357
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61823376
—
CO
Enumeration date
11/01/2011
Last updated
05/16/2013
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