Individual
DR. ASHA GHASSEMLOUEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
999 DELAWARE AVE, MENDOTA HEIGHTS, MN 55118-1022
(651) 675-6113
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14237
MN
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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