Dr. Siraj M. Bachani, DMD
Dentist in Champlin, MN. Individual provider (NPI-1).
NPI number1124530498
StatusActive
Last updated in NPPESOct 26, 2017
Details
- NPI
- 1124530498
- Entity type
- Individual (NPI-1)
- Name
- Dr. Siraj M. Bachani
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2017
- Last updated
- Oct 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D13923 | MN | Yes |
Practice location
11231 Aquila Dr NChamplin, MN 55316-2096
Phone 763-275-1318
Mailing address
4136 W 132nd StSavage, MN 55378-1625
Phone 952-564-0445
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All 8 Dentist providers in Champlin · All 341 providers in Champlin
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