Individual
DR. MOHAMED E EL DEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS DOS MS
Contact information
Practice address
11441 OSAGE ST NW, COON RAPIDS, MN 55433-3677
(763) 862-6442
(763) 862-6444
Mailing address
11441 OSAGE ST NW, COON RAPIDS, MN 55433-3677
(763) 862-6442
(763) 862-6444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973020600
—
MN
Enumeration date
10/14/2005
Last updated
08/09/2012
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