Individual
DR. ANITA AMINOSHARIAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
25 LAKE ST N, STE 110, FOREST LAKE, MN 55025-2535
(651) 464-7388
(651) 982-6236
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486
(651) 343-9277
(651) 343-9277
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208304300
—
MN
Enumeration date
12/20/2006
Last updated
01/11/2016
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