Individual
KAMAL MOHAMAD FAKHREDDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2006 1ST AVENUE NORTH, STE 202, ANOKA, MN 55303
(763) 427-7930
(763) 427-7537
Mailing address
2006 1ST AVENUE NORTH, STE 202, ANOKA, MN 55303
(763) 427-7930
(763) 427-7537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11008
MN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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