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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