NPI | 1417034661 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDOLLAH RAHIMI Owner 763-559-7688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MN D10465) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |