The Dental Suite Pllc
NPI #1790442176 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1790442176
- Entity Type
- Organization
- Organization Name
- The Dental Suite Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 20, 2021
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 4930 42ND AVE N
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-1731
- Phone
- (763) 245-2860
Authorized Official
- Name
- MUDASIR WALJI, DDS
- Title
- DENTIST
- Phone
- (763) 537-4531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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