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1090 Shingle Creek Crossing Brooklyn Center MN 55430 | |
| (651) 583-7256 | |
| (763) 560-9521 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1090 Shingle Creek Crossing, Brooklyn Center, Minnesota |
| Authorized Official Name and Position | Hassan Ismail (OWNER) |
| Authorized Official Contact | 6515837256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3189 Syracuse NY 13220 Ph: (315) 454-6000 | 1090 Shingle Creek Crossing Brooklyn Center MN 55430 Ph: (651) 583-7256 |
| NPI Number | 1689038473 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689038473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12061 (Minnesota) | Primary |
Northland Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 66th Ave N, Brooklyn Center, MN 55430 Phone: 763-560-3334 Fax: 763-560-2191 | |