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Organization
BLAINE LAKES DENTAL, P.L.L.C.
Active
Organization
BLAINE LAKES DENTAL, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIRDAVS Z ABZHABAROV DDS (DENTIST)
(612) 563-9313
Entity
Organization
Contact information
Practice address
10705 TOWN SQUARE DR NE STE 200, BLAINE, MN 55449-8187
(763) 757-1535
Mailing address
10705 TOWN SQUARE DR NE STE 200, BLAINE, MN 55449-8187
(763) 757-1535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/04/2026
Last updated
09/04/2026
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