| NPI | 1184046385 |
|---|---|
| Doing Business As | ADVANCED DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | REBECCA M KIPP Office Manager 612-789-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |