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Individual
AYMAN A BALSHE
Active
Individual
AYMAN A BALSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
57041
CA
1223P0300X
Periodontics
D12354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268487000
—
MN
Enumeration date
01/22/2007
Last updated
08/11/2011
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