Individual
DR. AIYZAH MANSUR JAVAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 541-2802
Mailing address
515 HURON BLVD SE APT 403, MINNEAPOLIS, MN 55414-3494
(715) 271-6001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/29/2024
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