Provider Demographics
NPI:1407527906
Name:DASHTTI, HASHEM M A M (DDS)
Entity Type:Individual
Prefix:DR
First Name:HASHEM
Middle Name:M A M
Last Name:DASHTTI
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:9-176 MOOS HEALTH SCIENCE TOWER 515 DELAWARE STREET SE
Mailing Address - Street 2:ADVANCED EDUCATION PROGRAM IN PROSTHODONTICS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-0402
Mailing Address - Fax:
Practice Address - Street 1:9-176 MOOS HEALTH SCIENCE TOWER 515 DELAWARE STREET SE
Practice Address - Street 2:ADVANCED EDUCATION PROGRAM IN PROSTHODONTICS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR8141223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics