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Organization
URGENT CARE DENTAL PLLC
Active
Organization
URGENT CARE DENTAL PLLC
Active
Other names
Crystal Clean Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MUKTAR A FARAH DDS (CEO)
(612) 442-3847
Entity
Organization
Contact information
Practice address
8500 42ND AVE N, NEW HOPE, MN 55427
(763) 762-8916
(763) 205-4564
Mailing address
8500 42ND AVE N, NEW HOPE, MN 55427
(763) 762-8916
(763) 205-4564
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
08/26/2026
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