NPI 1255565966

Ismail Hersi

Practitioner Dental Assistant Minneapolis, MN

Practice location

Address: 2801 Park Ave APT B5, Minneapolis, MN 55407-1330
Phone: (612) 715-9080

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1255565966
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2009
Record last updated: 8 May 2009

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.