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Organization

DENTAL CONSULTANTS LLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN ISMAIL DDS (OWNER)
(651) 583-7256
Entity
Organization

Contact information

Practice address
1090 SHINGLE CREEK CROSSING, BROOKLYN CENTER, MN 55430
(651) 583-7256
(763) 560-9521
Mailing address
PO BOX 3189, SYRACUSE, NY 13220
(315) 454-6000
(315) 410-5531

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12061
MN

Other

Enumeration date
04/08/2016
Last updated
04/08/2016
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