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Dr. Brady Michael Andvik, D.D.S.

Dentist in Elk River, MN. Individual provider (NPI-1).

NPI number1831456789
StatusActive
Last updated in NPPESMay 25, 2012

Details

NPI
1831456789
Entity type
Individual (NPI-1)
Name
Dr. Brady Michael Andvik
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2012
Last updated
May 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD13082MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

303 Main St Nw
Elk River, MN 55330-1531

Phone 763-441-9181

Mailing address

930 37th Ave S
Moorhead, MN 56560-6130

Phone 218-329-1972

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Other Dentist providers in Elk River, MN

All 16 Dentist providers in Elk River · All 706 providers in Elk River

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