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NPI 1588296024

IndividualActive

Abhina Gautam, MS

NPI 1588296024 · Prosthodontics · Roseville, MN

Provider details

NPI number: 1588296024
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: MS
Sex: Female
Sole proprietor: No
License: DPRM2096 (FL)

Practice location

2680 E Snelling Ser Dr

100

Roseville, MN 55113

Phone: (612) 662-0121

More MN providers

Mailing address

500 E Grant St Apt 1706

Minneapolis, MN 55404-1476

Registry dates

Enumerated: 2020-02-12
Last updated: 2024-08-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abhina Gautam, MS — NPI 1588296024, Roseville, MN | NPI Central