NPI 1124544895

Msp Dentistry INC

Organisation Preferred Provider Organization Andover, MN

Practice location

Address: 13650 Hanson Blvd. Suite #110, Andover, MN 55304
Phone: (763) 421-7900
Fax: (763) 421-7916

Authorised official

Name: Majid Fehresti
Title: Owner/Dds
Phone: (763) 421-7900

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence D12034 (MN)

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Registry record

NPI: 1124544895
Entity type: Organization
NPI issued: 15 Aug 2017
Record last updated: 15 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.