Individual
MOHAMMAD HUSSAM ALKILLESLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6601 LYNDALE AVE S, STE 230, RICHFIELD, MN 55423
(612) 861-9123
(612) 861-9155
Mailing address
PO BOX 23029, RICHFIELD, MN 55423
(612) 861-9123
(612) 861-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11853
MN
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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