Individual
MOHAMMAD FEIZIZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11300 WAYZATA BLVD STE G, HOPKINS, MN 55305-2019
(206) 631-0352
Mailing address
2260 PLYMOUTH RD APT 113, MINNETONKA, MN 55305-2352
(206) 631-0352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14812
MN
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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