Individual
OMAR EZZALDIN ABUSTEIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 746-4519
Mailing address
40 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 746-4519
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
S115
MN
Other
Enumeration date
10/06/2016
Last updated
06/22/2020
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