Kamal Mohamad Fakhreddine, D.D.S.

NPI #1174616817 in Anoka, Minnesota

Provider Information

NPI Number: 1174616817
Entity Type: Individual
Name: Kamal Mohamad Fakhreddine, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2006 1ST AVENUE NORTH
Address 2: STE 202
City: Anoka
State: Minnesota
ZIP Code: 55303
Phone: (763) 427-7930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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