| Northside Minnesota Oral And Maxillofacial Surgeons | |
|
11441 Osage St Nw Coon Rapids MN 55433 | |
| (763) 862-6442 | |
| Not Available |
| Full Name | Northside Minnesota Oral And Maxillofacial Surgeons |
|---|---|
| Speciality | Dentist |
| Location | 11441 Osage St Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Mohamed El Deeb (DOCTOR/PRESIDENT) |
| Authorized Official Contact | 7638626442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Minnesota Oral And Maxillofacial Surgeons 11441 Osage St Nw Coon Rapids MN 55433 Ph: () - | Northside Minnesota Oral And Maxillofacial Surgeons 11441 Osage St Nw Coon Rapids MN 55433 Ph: (763) 862-6442 |
| NPI Number | 1336337526 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336337526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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