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1417043316
M.BASHAR AHMEDO
EAGAN, MN
NPI
1417043316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN 12287)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Dr. M.BASHAR AHMEDO DDS
1247 TIMBERSHORE LN
EAGAN, MN 55123-1020
Phone number: 651-769-4625
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Mailing Address
Dr. M.BASHAR AHMEDO DDS
1247 TIMBERSHORE LN
EAGAN, MN 55123-1020
Phone number: 651-769-4625
Copy
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