DR. KHASHAYAR KHODADOUSTAN, DDS
Dentist - General Practice
Active
Individual
NPI: 1598505083
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D15073 (MN) |
Frequently Asked Questions
NPI 1598505083 is the National Provider Identifier for DR. KHASHAYAR KHODADOUSTAN, DDS, a Dentist - General Practice provider located in Glencoe, MN. This NPI was enumerated on May 30, 2024.
DR. KHASHAYAR KHODADOUSTAN, DDS practices at 1126 IVES AVE N, Glencoe, MN 55336.
Quick Facts
- NPI
- 1598505083
- Type
- Individual
- Enumerated
- May 30, 2024
- Last Updated
- May 30, 2024
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