Massara Hasan

NPI #1063084465 in Columbia Heights, Minnesota

Provider Information

NPI Number
1063084465
Entity Type
Individual
Name
Massara Hasan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jul 14, 2021
Last Updated
Jan 13, 2022

Practice Location

Address
5220 CENTRAL AVE NE STE 240
ZIP Code
55421-1823
Phone
(763) 275-1319

Specialties & Taxonomy Codes

Specialty
Dentist

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