Individual
DR. SIRAJ M. BACHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11231 AQUILA DR N, CHAMPLIN, MN 55316-2096
(763) 275-1318
Mailing address
4136 W 132ND ST, SAVAGE, MN 55378-1625
(952) 564-0445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13923
MN
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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