Provider Demographics
NPI:1972849032
Name:LINJAWI, MAHA SAMEER (BDS, MSCD, DSCD,CAGS)
Entity Type:Individual
Prefix:DR
First Name:MAHA
Middle Name:SAMEER
Last Name:LINJAWI
Suffix:
Gender:F
Credentials:BDS, MSCD, DSCD,CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 MARKETPLACE DR NW STE 112
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3780 MARKETPLACE DR NW STE 112
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3225
Practice Address - Country:US
Practice Address - Phone:507-258-7934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL11783122300000X
MNS1981223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No122300000XDental ProvidersDentist