Organization
MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED EL DEEB (OWNER/PRESIDENT)
(320) 240-0927
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DRIVE, SUITE 103, ST. CLOUD, MN 56303
(320) 240-0927
Mailing address
1511 NORTHWAY DRIVE, SUITE 103, ST. CLOUD, MN 56303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/01/2008
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