Provider Demographics
NPI:1184959454
Name:NAZIR, ARIF (BDS)
Entity type:Individual
Prefix:DR
First Name:ARIF
Middle Name:
Last Name:NAZIR
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 BALTIMORE ST NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-6049
Mailing Address - Country:US
Mailing Address - Phone:763-231-2050
Mailing Address - Fax:763-231-2052
Practice Address - Street 1:10210 BALTIMORE ST NE
Practice Address - Street 2:SUITE 100
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-6049
Practice Address - Country:US
Practice Address - Phone:763-231-2050
Practice Address - Fax:763-231-2052
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13174122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist