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Individual

DR. NASIR KAMRAN LATIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12936 63RD AVE N, MAPLE GROVE, MN 55369
(763) 559-3400
(763) 559-3900
Mailing address
12936 63RD AVE N, MAPLE GROVE, MN 55369
(763) 559-3400
(763) 559-3900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12215
MN

Other

Enumeration date
01/18/2007
Last updated
07/06/2010
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