NPI 1013202084

Andrea K Ruby, DMD

Practitioner Dentist St Louis Park, MN

Practice location

Address: 3345 Dakota Ave S, St Louis Park, MN 55416-2039
Phone: (952) 929-9450

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D12985 (MN)

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Registry record

NPI: 1013202084
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2011
Record last updated: 11 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.