Individual
MAHMOUD MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 626-7232
Mailing address
1119 S 8TH ST, MINNEAPOLIS, MN 55404-1302
(612) 598-9877
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
R855
MN
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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