Organization
DR. ANDREA K RUBY DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA K RUBY DMD (DENTIST)
(617) 763-4033
Entity
Organization
Contact information
Practice address
2934 TEXAS AVE S, ST LOUIS PARK, MN 55426-3086
(952) 935-7707
(952) 935-7708
Mailing address
22 WESTERN TERRACE, GOLDEN VALLEY, MN 55426
(617) 763-4033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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