Organization
ADVANCED DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA LYANSKY D.D.S. (CEO)
(952) 285-1677
Entity
Organization
Contact information
Practice address
5020 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2255
(952) 285-1677
Mailing address
5020 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2255
(952) 285-1677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11287
MN
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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