Individual
REDA TALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7-174 MOOS TOWER,, 515 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 624-9959
Mailing address
110 BANK ST SE APT 2103, MINNEAPOLIS, MN 55414-3905
(734) 644-4156
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
R421
MN
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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