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Individual

MS. MULKI ISSAK HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH, DT

Contact information

Practice address
331 WILLOW BND, CRYSTAL, MN 55428-3969
(763) 762-8916
Mailing address
1237 WILDWOOD WAY, CHASKA, MN 55318-9735
(763) 843-6563

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H11630
MN

Other

Enumeration date
10/03/2023
Last updated
07/29/2024
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