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Organization
PROACTIVE HEALTHCARE EDUCATION CENTER
Active
Organization
PROACTIVE HEALTHCARE EDUCATION CENTER
Active
Other names
Proactive Dental Clinic Corp
Organization subpart
No
Provider details
NPI number
Authorized official
SOLAMAN SHIRE (OWNER)
(310) 883-8932
Entity
Organization
Contact information
Practice address
334 E LAKE ST STE 105, MINNEAPOLIS, MN 55408-2485
(310) 883-8932
Mailing address
334 E LAKE ST STE 105, MINNEAPOLIS, MN 55408-2485
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/16/2024
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