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4205 Lancaster Ln N Suite 101 Plymouth MN 55441-1700 | |
| (763) 559-2976 | |
| (763) 559-4852 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4205 Lancaster Ln N, Plymouth, Minnesota |
| Authorized Official Name and Position | Mohammed Ashfaque Hussain Zobaer (DENTIST) |
| Authorized Official Contact | 7635592976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4205 Lancaster Ln N Suite 101 Plymouth MN 55441-1700 Ph: (763) 559-2976 | 4205 Lancaster Ln N Suite 101 Plymouth MN 55441-1700 Ph: (763) 559-2976 |
| NPI Number | 1891091203 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891091203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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