Individual
DR. EHAB ALY NOUR REZK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5958
(218) 361-3149
Mailing address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5958
(218) 361-3149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12323
MN
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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