| Artisan Dental. P.a. | |
|
4000 Annapolis Ln Suite 103. Plymouth MN 55667 | |
| (763) 519-8880 | |
| (763) 519-8881 |
| Full Name | Artisan Dental. P.a. |
|---|---|
| Speciality | Dentist |
| Location | 4000 Annapolis Ln Suite 103., Plymouth, Minnesota |
| Authorized Official Name and Position | Kamal Ahmed (PRESIDENT) |
| Authorized Official Contact | 7635198880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artisan Dental. P.a. 4000-annapolis Ln. Suite 103. Plymouth MN 55667 Ph: (763) 519-8880 | Artisan Dental. P.a. 4000 Annapolis Ln Suite 103. Plymouth MN 55667 Ph: (763) 519-8880 |
| NPI Number | 1245639517 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 08/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245639517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11984 (Minnesota) | Primary |
| 122300000X | Dentist | 58780 (California) | Secondary |
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