Individual
ISMAIL HERSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 PARK AVE APT B5, MINNEAPOLIS, MN 55407-1330
(612) 715-9080
Mailing address
2801 PARK AVE APT B5, MINNEAPOLIS, MN 55407-1330
(612) 715-9080
(612) 871-6433
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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