Individual
JOHN SALEK-RAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
700 VILLAGE CENTER DR., STE 170, NORTH OAKS, MN 55127-3025
(651) 482-0065
(651) 482-6144
Mailing address
700 VILLAGE CENTER DR., STE 170, NORTH OAKS, MN 55127-3025
(651) 482-0065
(651) 482-6144
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901021011
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S157
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4301119400
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
67345
MN
Other
Enumeration date
06/14/2013
Last updated
10/20/2020
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