| Mounds View Family Dental | |
|
5366 Edgewood Dr. Mounds View MN 55112 | |
| (347) 481-6796 | |
| Not Available |
| Full Name | Mounds View Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 5366 Edgewood Dr., Mounds View, Minnesota |
| Authorized Official Name and Position | Sabry M Sharara (OWNER/PRESIDENT) |
| Authorized Official Contact | 3474816796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mounds View Family Dental 2458 County Road I Apt. 201 Moundsview MN 55112-6235 Ph: (347) 481-6796 | Mounds View Family Dental 5366 Edgewood Dr. Mounds View MN 55112 Ph: (347) 481-6796 |
| NPI Number | 1205069358 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205069358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
Apple Tree Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2442 Mounds View Blvd, Mounds View, MN 55112 Phone: 763-316-5400 Fax: 763-780-9005 |