Individual
SHADY GIRGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1790 7TH ST E, SAINT PAUL, MN 55119-3419
(651) 735-0595
Mailing address
1790 7TH ST E, SAINT PAUL, MN 55119-3419
(651) 735-0595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14447
MN
Other
Enumeration date
07/20/2020
Last updated
09/03/2020
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