| North Star Pediatric Dentistry | |
|
9708 63rd Ave N Ste 102 Maple Grove MN 55369-6252 | |
| (202) 378-4707 | |
| Not Available |
| Full Name | North Star Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9708 63rd Ave N Ste 102, Maple Grove, Minnesota |
| Authorized Official Name and Position | Elias Kamal Abdi (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 2023784707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Pediatric Dentistry 2333 Jackson St Ne Apt 222 Minneapolis MN 55418-1845 Ph: () - | North Star Pediatric Dentistry 9708 63rd Ave N Ste 102 Maple Grove MN 55369-6252 Ph: (202) 378-4707 |
| NPI Number | 1902775786 |
|---|---|
| Provider Enumeration Date | 10/31/2025 |
| Last Update Date | 10/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902775786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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