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Organization

DIAMOND DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDIRAHMAN UGAS AHMED DDS (OWNER)
(612) 554-7278
Entity
Organization

Contact information

Practice address
11050 CEDAR HILLS BLVD, 101E, MINNETONKA, MN 55305-3057
(612) 554-7278
Mailing address
11050 CEDAR HILLS BLVD, 101E, MINNETONKA, MN 55305
(612) 554-7278

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12794
MN

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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