Individual
LANCE SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
701 PARK AVE, P7, MINNEAPOLIS, MN 55415-1623
(612) 873-2370
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093455100
—
MN
Enumeration date
06/05/2006
Last updated
07/30/2007
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