Provider Demographics
NPI:1710357074
Name:ALB, SANDU FLORIN (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDU
Middle Name:FLORIN
Last Name:ALB
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19000 31ST AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-1085
Mailing Address - Country:US
Mailing Address - Phone:763-533-0055
Mailing Address - Fax:763-533-0057
Practice Address - Street 1:15930 48TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-2055
Practice Address - Country:US
Practice Address - Phone:612-814-9746
Practice Address - Fax:763-494-4222
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND139601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice