| NPI | 1740455773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASEEN SYED Owner/Dr. 952-888-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-09-18 |