Individual
DR. EVGENY BASHIROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4201 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3303
(612) 721-2833
Mailing address
4201 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3303
(612) 721-2833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14242
MN
Other
Enumeration date
07/03/2019
Last updated
12/09/2021
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