Organization
ELEGANT DENTISTRY PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHSAR ALKABBANI (OWNER)
(612) 217-2712
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S STE 681, EDINA, MN 55435-2127
(612) 800-8008
(612) 353-4246
Mailing address
6545 FRANCE AVE S STE 681, EDINA, MN 55435-2127
(612) 800-8008
(612) 353-4246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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