NPI | 1255195541 |
---|---|
Doing Business As | PURA DENTISTRY |
Entity Type | Organization |
Authorized Contact | MOHAMED ABDEL MONEIM ABBASS Dentist 651-408-5631 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-05-08 |