| NPI | 1134621360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ABBAS HAMMAM Owner Dentist 612-227-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 60616) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-03 |