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Mustapha Mansuri
General Practice Dentistry in Fridley, Minnesota
NPI 1215516919

Mustapha Mansuri is a General Practice Dentistry based in Roseville, MN and is specialized in General Practice. Mustapha Mansuri practices in Fridley, MN. The NPI Number for Mustapha Mansuri is 1215516919 and holds a License No. D14543 (Minnesota).

The current practice location address for Mustapha Mansuri is 6299 University Ave Ne Ste 100, Fridley, MN and can be reached out via phone at 763-400-7308. You can also correspond with Mustapha Mansuri through the mailing address at 654 GRANDVIEW AVE W, ROSEVILLE, MN - 55113-4516 (mailing address contact number: 651-529-5005).

Location: 6299 University Ave Ne Ste 100, Fridley, MN, 55113-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215516919
Provider Name
Mustapha Mansuri
Credential
Provider Entity Type
Individual
Gender
Male
Address
6299 University Ave Ne Ste 100, Fridley, MN, 55113-4516
Phone Number
763-400-7308
Fax Number
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6299 University Ave Ne Ste 100
City
Fridley
State
Minnesota
Zip
55432-4919
Phone Number
763-400-7308
Fax Number
person
Provider Business Mailing Address Details
Address
6299 University Ave Ne Ste 100
City
Fridley
State
Minnesota
Zip
55432-4919
Phone Number
763-400-7308
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D14543 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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