Individual
DR. ELHAM MAHMOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
563 BIELENBERG DR, 210, WOODBURY, MN 55125-1415
(651) 414-0208
(651) 414-0390
Mailing address
563 BIELENBERG DR, STE 210, WOODBURY, MN 55125-1415
(651) 414-0208
(651) 414-0390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11265
MN
Other
Enumeration date
10/03/2006
Last updated
09/24/2007
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