Individual
MANSUR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 626-5844
Mailing address
14382 BAYBERRY CT, ROSEMOUNT, MN 55068-4479
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
FF3
MN
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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