Individual
DR. MOHAMMAD MUJTABA METHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MS
Contact information
Practice address
515 DELAWARE STREET SE, MOOS HEALTH SCIENCE TOWER, MINNEAPOLIS, MN 55455
(281) 846-9585
Mailing address
747 HAMPDEN AVENUE, APT. 508, SAINT PAUL, MN 55114
(281) 846-9585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38912
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
R760
MN
Other
Enumeration date
06/16/2020
Last updated
04/21/2025
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