OrganizationActive
Advancia Dental
NPI 1124284732 · General Practice Dentistry · Woodbury, MN
Provider details
- NPI number
- 1124284732
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Haitham Mosly, President
- License
- D12156 (MN)
Practice location
1625 Radio Dr
Suite 170
Woodbury, MN 55125-9407
Phone: (651) 207-9660
Mailing address
3154 Meadow Brook Dr
Woodbury, MN 55125-4308
Registry dates
- Enumerated
- 2008-08-03
- Last updated
- 2008-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.