Aminoshariae, Anita

Aminoshariae, Anita is an individual health care provider with primary practice located at 25 Lake St N Ste 110, Forest Lake MN 55025-2535. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Aminoshariae, Anita can be contacted via phone (651) 464-7388.

Contact Information

Primary practice address
25 Lake St N Ste 110 Forest Lake MN 55025-2535
Phone: (651) 464-7388
Fax: (651) 982-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D11942 Minnesota

Profile Details

NPI number 1386708055
LBN Legal business name Aminoshariae, Anita
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jan 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386708055 NPPES
Minnesota MEDICAID 208304300

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