Individual
DR. CAMELLIA MIRKAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W NICOLLET BLVD, BURNSVILLE, MN 55337-4568
(952) 435-4142
Mailing address
351 W NICOLLET BLVD, BURNSVILLE, MN 55337-4568
(952) 435-4142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15088
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
12/17/2025
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