Individual
MARAM TAEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MS
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
S203
MN
1223X2210X
Orofacial Pain Dentistry
Primary
S203
MN
Other
Enumeration date
07/22/2021
Last updated
05/13/2024
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