Most Relevant Information
Provider Data
| NPI Number: | 1003656307 |
| Provider Name: | AIYZAH MANSUR JAVAID DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/27/2024 |
| Last Updated: | 05/29/2024 |
Provider Practice Location
8170 33RD AVE S
BLOOMINGTON
MN
554254516
Practice Location Phone/Fax
| Phone: | 9525412802 |
| Fax: |
Provider Mailing Location
515 HURON BLVD SE APT 403
MINNEAPOLIS
MN
554143494
Provider Mailing Phone/Fax
| Phone: | 7152716001 |
| Fax: |