MAX ADDERSTONE DDS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1265059240- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 636 BROADWAY ST NE, MINNEAPOLIS, MN, 55413
- Phone
- (515) 770-8529
Specialties & Taxonomies
Dentist
License: IA #DDS-09781
Dentist, General Practice
License: MN #D14523
Dentist, General Practice
Primary License: MN #1265059240