Individual
SIMIL TAMSEEL FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 BALTIMORE ST NE STE 100, BLAINE, MN 55449-6050
(763) 231-2050
(763) 231-2052
Mailing address
10210 BALTIMORE ST NE STE 100, BLAINE, MN 55449-6050
(763) 231-2050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14807
MN
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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