Individual
MOHAMED MUKHTAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 CEDAR AVE S, MINNEAPOLIS, MN 55407
(240) 765-4938
Mailing address
8680 MARIGOLD CIR APT 307, EDEN PRAIRIE, MN 55344-7641
(240) 765-4938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13977
MN
Other
Enumeration date
05/12/2018
Last updated
12/19/2018
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