Individual
ALIASGHAR MOHEBBI ABIVARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8960 SPRINGBROOK DR NW, SUITE 150, COON RAPIDS, MN 55433-5852
(763) 784-7570
Mailing address
8960 SPRINGBROOK DR NW, SUITE 150, COON RAPIDS, MN 55433-5852
(763) 784-7570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10819
MN
Other
Enumeration date
09/29/2006
Last updated
02/22/2012
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