Individual
LIBAN HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 SALEM RD SW # 10, ROCHESTER, MN 55902-4210
(507) 686-6968
Mailing address
248 OAK DR, EAGLE LAKE, MN 56024-3404
(507) 491-0668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15299
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2025
Last updated
06/05/2025
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