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Individual

AZAR HEMMATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2150
(612) 746-1530
(612) 746-1531
Mailing address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2150
(612) 746-1530
(612) 746-1531

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12175
MN

Other

Enumeration date
12/26/2006
Last updated
07/08/2007
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