Individual
KEERTHANA R SHANMUGASEELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSC
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-6708
Mailing address
15899 ELMHURST LN UNIT 1113, APPLE VALLEY, MN 55124-4017
(737) 336-4112
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
FL75
MN
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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