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Dr. Hamid Reza Abedi
Endodontist in Blaine, Minnesota
NPI 1891865861

Hamid Reza Abedi is a Endodontist based in Irvine, MN and is specialized in Endodontics. Hamid Reza Abedi practices in Blaine, MN. The NPI Number for Hamid Reza Abedi is 1891865861 and holds a License No. 43300 (Minnesota).

The current practice location address for Hamid Reza Abedi is 1384 109Th Ave Ne Ste 200, Blaine, MN and can be reached out via phone at 949-230-7692 and via fax at 909-613-0277.

Location: 1384 109Th Ave Ne Ste 200, Blaine, MN, 92612-5675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891865861
Provider Name
Hamid Reza Abedi
Credential
Provider Entity Type
Individual
Gender
Male
Address
1384 109Th Ave Ne Ste 200, Blaine, MN, 92612-5675
Phone Number
949-230-7692
Fax Number
909-613-0277
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-4784432 01 CA TAX ID#
institution
Provider Business Practice Location Address Details
Address
1384 109Th Ave Ne Ste 200
City
Blaine
State
Minnesota
Zip
55434-4543
Phone Number
949-230-7692
Fax Number
909-613-0277
person
Provider Business Mailing Address Details
Address
1384 109Th Ave Ne Ste 200
City
Blaine
State
Minnesota
Zip
55434-4543
Phone Number
949-230-7692
Fax Number
909-613-0277
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
S179 (Minnesota)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
43300 (California)
Definition
Definition to come...
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