Organization
ARTISAN DENTAL. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL AHMED BDS. (PRESIDENT)
(763) 519-8880
Entity
Organization
Contact information
Practice address
4000 ANNAPOLIS LN SUITE 103., PLYMOUTH, MN 55667
(763) 519-8880
(763) 519-8881
Mailing address
4000-ANNAPOLIS LN. SUITE 103., PLYMOUTH, MN 55667
(763) 519-8880
(763) 519-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58780
CA
122300000X
Dentist
Primary
D11984
MN
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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