| The Dental Suite Pllc | |
|
4930 42nd Ave N Robbinsdale MN 55422-1731 | |
| (763) 245-2860 | |
| Not Available |
| Full Name | The Dental Suite Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4930 42nd Ave N, Robbinsdale, Minnesota |
| Authorized Official Name and Position | Mudasir Walji (DENTIST) |
| Authorized Official Contact | 7635374531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Suite Pllc 9756 Washburn Ave N Brooklyn Park MN 55444-1016 Ph: () - | The Dental Suite Pllc 4930 42nd Ave N Robbinsdale MN 55422-1731 Ph: (763) 245-2860 |
| NPI Number | 1790442176 |
|---|---|
| Provider Enumeration Date | 11/20/2021 |
| Last Update Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790442176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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