Individual
AMIRALI BEHDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4526
(763) 421-7900
Mailing address
1325 UTICA AVE S APT 421, ST LOUIS PARK, MN 55416-4596
(980) 349-1066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14904
MN
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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