Individual
DR. WALA ABUSHEHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13040 RIVERDALE DR NW STE 600, COON RAPIDS, MN 55448-8419
(763) 323-3042
Mailing address
2949 4TH ST SE UNIT 335, MINNEAPOLIS, MN 55414-3899
(810) 498-5717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0000000
MN
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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