Individual
EMAD ABDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 VILLAGE CENTER DR STE 170, NORTH OAKS, MN 55127-3025
(651) 482-0065
Mailing address
256-C MASON AVE. 3RD FLOOR, STATEN ISLAND, NY 10305
(718) 226-1251
(718) 226-1252
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
058061
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S209
MN
Other
Enumeration date
02/18/2015
Last updated
06/11/2024
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