Organization
THE DENTAL SUITE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDASIR WALJI DDS (DENTIST)
(763) 537-4531
Entity
Organization
Contact information
Practice address
4930 42ND AVE N, ROBBINSDALE, MN 55422-1731
(763) 245-2860
Mailing address
9756 WASHBURN AVE N, BROOKLYN PARK, MN 55444-1016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2021
Last updated
07/19/2023
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