Artisan Dental. P.a.

NPI #1245639517 in Plymouth, Minnesota

Provider Information

NPI Number: 1245639517
Entity Type: Organization
Organization Name: Artisan Dental. P.a.
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2014
Last Updated: Aug 22, 2014

Practice Location

Address: 4000 ANNAPOLIS LN SUITE 103.
City: Plymouth
State: Minnesota
ZIP Code: 55667
Phone: (763) 519-8880

Authorized Official

Name: KAMAL AHMED, BDS.
Title: PRESIDENT
Phone: (763) 519-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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