Organization
ADVANCED RECONSTRUCTIVE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FERNANDO DELIMA JR. DDS FACP (OWNER)
(952) 922-5326
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S STE 680, EDINA, MN 55435-2127
(952) 922-5326
Mailing address
6545 FRANCE AVE S STE 680, EDINA, MN 55435-2127
(952) 922-5326
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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