Qureshi, Wafa A

Qureshi, Wafa A is an individual health care provider with primary practice located at 15290 Pennock Lane , Apple Valley MN 55124. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Qureshi, Wafa A can be contacted via phone (952) 431-8583.

Contact Information

Primary practice address
15290 Pennock Lane Apple Valley MN 55124
Fax: (952) 431-8528
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11598 Minnesota

Profile Details

NPI number 1710098553
LBN Legal business name Qureshi, Wafa A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 20th, 2011 - about 15 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 1710098553 NPPES
Minnesota MEDICAID 569198200

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