Individual
DR. JAMSHID MAHMOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1630 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3887
(651) 645-4671
Mailing address
885 HARRIET AVE, SHOREVIEW, MN 55126-8050
(651) 486-6894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11209
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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