Individual
DR. ABHINA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2680 E SNELLING SER DR, 100, ROSEVILLE, MN 55113
(612) 662-0121
Mailing address
500 E GRANT ST APT 1706, MINNEAPOLIS, MN 55404-1476
(352) 214-4330
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
DPRM2096
FL
1223P0700X
Prosthodontics
Primary
S215
MN
Other
Enumeration date
02/12/2020
Last updated
08/27/2024
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