Provider Demographics
NPI:1881254217
Name:ALB DENTAL STUDIO PLLC
Entity type:Organization
Organization Name:ALB DENTAL STUDIO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDU
Authorized Official - Middle Name:FLORIN
Authorized Official - Last Name:ALB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PHD
Authorized Official - Phone:612-840-0436
Mailing Address - Street 1:15930 48TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55446-2055
Mailing Address - Country:US
Mailing Address - Phone:612-814-9746
Mailing Address - Fax:
Practice Address - Street 1:7916 MAIN ST N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7169
Practice Address - Country:US
Practice Address - Phone:612-840-0436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental