Individual
TAMZID BIN MAFIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
828 HAWTHORNE AVE E, SAINT PAUL, MN 55106-3252
(651) 774-2959
Mailing address
828 HAWTHORNE AVE E, SAINT PAUL, MN 55106-3252
(651) 774-2959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14251
MN
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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