Individual
DR. BASHAR BAKDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, 7-368 MHST, MINNEAPOLIS, MN 55455-0357
(612) 625-8684
Mailing address
515 DELAWARE ST SE, 7-368 MHST, MINNEAPOLIS, MN 55455-0357
(612) 625-8684
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
FF16
MN
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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