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Individual

DR. AHMAD KHAMIS ABDALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, DMD

Contact information

Practice address
1625 RADIO DR, WOODBURY, MN 55125-9407
(651) 340-0772
Mailing address
11761 ARNOLD PALMER CT, BLAINE, MN 55449-4525
(651) 354-2514

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15087
MN

Other

Enumeration date
05/09/2023
Last updated
04/08/2025
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