Individual
DR. SHRIRANG MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14070 COMMERCE AVE NE STE 100, PRIOR LAKE, MN 55372-1424
(952) 461-4646
Mailing address
45 CUNNINGHAM RD, NORTH OAKS, MN 55127-4300
(612) 702-2035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193437600
—
MN
01
—
D11987
DELTA
MN
Enumeration date
10/12/2006
Last updated
03/07/2023
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