Organization
BLAINE DENTAL LLC DBA PRO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIF NAZIR BDS (BDS)
(763) 231-2050
Entity
Organization
Contact information
Practice address
10210 BALTIMORE ST NE, SUITE 100, BLAINE, MN 55449-6049
(763) 231-2050
(763) 231-2052
Mailing address
10210 BALTIMORE ST NE, SUITE 100, BLAINE, MN 55449-6049
(763) 231-2050
(763) 231-2052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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