Ad Astrum LLC

Organization Active NPI General Practice Dentistry · Bemidji, MN

NPI 1346829157 · NPPES record last updated Apr 7, 2021

Key facts

NPI
1346829157
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
AD ASTRUM LLC
Practice address
2219 Paul Bunyan Dr NW Ste 6-7
Bemidji, MN 56601-6188
Phone
(218) 751-2659
NPI assigned
Apr 7, 2021
Organization subpart
No

Authorized official

Name
Katherine Sonoda
Title
Owner
Phone
(218) 751-2659

National Provider Directory

Locations

5215 S Durango Dr
Ste 3
Las Vegas, NV 89113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

2219 Paul Bunyan Dr NW Ste 6-7
Bemidji, MN 56601-6188

Mailing address

5215 S Durango Dr Ste 3
Las Vegas, NV 89113-0163

Other providers in Bemidji, MN

All providers in Bemidji, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.