Individual
AYAA AL MOSAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 UPLAND LN N, MAPLE GROVE, MN 55369-4464
(952) 440-2292
Mailing address
9400 UPLAND LN N, MAPLE GROVE, MN 55369-4464
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT191
MN
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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