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Individual

DR. HOSSEIN A JALALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
991 9TH AVE NW, NEW BRIGHTON, MN 55112-2665
(651) 633-1311
(651) 633-4339
Mailing address
991 9TH AVE NW, NEW BRIGHTON, MN 55112-2665
(651) 633-1311
(651) 633-4339

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10256
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009762
MEDICAL ASSISTANCE
MN
Enumeration date
12/09/2005
Last updated
10/28/2014
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