Shiraz Mohammad Asif, BDS
Dentist, General Practice in Eden Prairie, MN. Individual provider (NPI-1).
NPI number1215009477
StatusActive
Last updated in NPPESMar 20, 2018
Details
- NPI
- 1215009477
- Entity type
- Individual (NPI-1)
- Name
- Shiraz Mohammad Asif
- Credential
- BDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Mar 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D12191 | MN | Yes |
Other names
- Mohammad Shiraz Asif (Former Name)
Practice location
8775 Columbine RdEden Prairie, MN 55344-6695
Phone 952-942-0823 · Fax 952-224-2986
Mailing address
8775 Columbine RdEden Prairie, MN 55344-6695
Phone 952-942-0823 · Fax 952-224-2986
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