Provider Demographics
NPI:1639066053
Name:DALAB, ARDO
Entity type:Individual
Prefix:
First Name:ARDO
Middle Name:
Last Name:DALAB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12675 GERMANE AVE APT 13
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-4373
Mailing Address - Country:US
Mailing Address - Phone:763-333-6305
Mailing Address - Fax:
Practice Address - Street 1:12675 GERMANE AVE APT 13
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4373
Practice Address - Country:US
Practice Address - Phone:763-333-6305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management