Individual
AMIRA YAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-3600
(612) 543-3525
Mailing address
2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-3600
(612) 543-3525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15391
MN
1223G0001X
General Practice Dentistry
Primary
DDS-09216
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IA
Enumeration date
07/13/2015
Last updated
06/02/2026
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