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Individual

MOHAMMAD AYYUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1090 SHINGLE CREEK XING, BROOKLYN CENTER, MN 55430-2684
(651) 583-7256
Mailing address
1601 6TH AVE N, SARTELL, MN 56377-1471
(320) 267-0147

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14892
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2023
Last updated
06/05/2023
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