Individual
HESAM SEYED FEGHAHATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4125 LAKELAND AVE N STE 100, ROBBINSDALE, MN 55422-1860
(763) 537-5123
(763) 533-2034
Mailing address
4125 LAKELAND AVE N STE 100, ROBBINSDALE, MN 55422-1860
(763) 537-5123
(763) 533-2034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13480
MN
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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