OrganizationActive
Advanced Dental Care Services
NPI 1083788574 · General Practice Dentistry · Mound, MN
Provider details
- NPI number
- 1083788574
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mazen Manla, Dentist(952) 472-1182
- License
- D 11855 (MN)
Specialties & taxonomies
Dental Providers
Practice location
2363 Commerce Blvd
Mound, MN 55364-1425
Phone: (952) 472-1182
Approximate (ZIP-level) locationGet directions
Mailing address
2363 Commerce Blvd
Mound, MN 55364-1425
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.