Individual
ELAHEH FEKRAZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W MYRTLE ST STE 100, DULUTH, MN 55811-4457
(218) 491-8058
Mailing address
2949 4TH ST SE UNIT 333, MINNEAPOLIS, MN 55414-3899
(517) 315-9249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15265
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2025
Last updated
06/02/2025
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