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Organization

ASHRAF WASEF DDS, PA

Active
Other names
SMILE CITY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHRAF W WASEF DDS (GENERAL DENTIST)
(612) 735-6545
Entity
Organization

Contact information

Practice address
1011 2ND ST N STE 201, SAINT CLOUD, MN 56303-3237
(320) 252-0414
Mailing address
1011 2ND ST N STE 201, SAINT CLOUD, MN 56303-3237
(320) 252-0414

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12300
MN
124Q00000X
Dental Hygienist
126800000X
Dental Assistant
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992994131
PERSONAL NPI#
MN
05
91610700
MN
Enumeration date
05/16/2011
Last updated
05/16/2011
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