Organization
NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED EL DEEB (DOCTOR/PRESIDENT)
(763) 862-6442
Entity
Organization
Contact information
Practice address
11441 OSAGE ST NW, COON RAPIDS, MN 55433
(763) 862-6442
Mailing address
11441 OSAGE ST NW, COON RAPIDS, MN 55433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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