Organization
DENTAL CENTER OF AMERICA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED HAMMAM DDS (PRESIDENT)
(320) 229-2205
Entity
Organization
Contact information
Practice address
1521 NORTHWAY DR, SUITE 102, SAINT CLOUD, MN 56303-4489
(320) 229-2205
(320) 229-2207
Mailing address
1521 NORTHWAY DR, SUITE 102, SAINT CLOUD, MN 56303-4489
(320) 229-2205
(320) 229-2207
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12186
MN
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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