Individual
YAZAN ALKHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4948 34TH AVE S, MINNEAPOLIS, MN 55417-1504
(612) 722-4676
Mailing address
730 STARLIGHT DR, SARTELL, MN 56377-4525
(320) 293-0831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14437
MN
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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