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Al Shifa Dentistry PA — NPI 1760703151, Maple Grove, MN | NPI Central

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Al Shifa Dentistry PA

NPI 1760703151 · Dental Clinic/Center · Maple Grove, MN

Provider details

NPI number: 1760703151
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Nasir Latif, President
License: D12215 (MN)

Practice location

12936 63rd Ave N

Maple Grove, MN 55369-6001

Phone: (763) 559-3400

Fax: (763) 559-3900

More MN providers

Mailing address

12936 63rd Ave N

Maple Grove, MN 55369-6001

Registry dates

Enumerated: 2010-06-19
Last updated: 2010-06-19

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