| NPI | 1245639517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL AHMED President 763-519-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D11984) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 58780) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |