Organization
LOWRY HILL DENTAL CLINIC PATRICK J PROCHASKA DDS ET.AL PARTNERS
Active
Other names
Lowry Hill Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATICK JAMES PROCHASKA D.D.S (PARTNER)
(612) 823-7942
Entity
Organization
Contact information
Practice address
1516 W LAKE ST, SUITE 302, MINNEAPOLIS, MN 55408-2554
(612) 822-1484
(612) 822-9458
Mailing address
1516 W LAKE ST, SUITE 302, MINNEAPOLIS, MN 55408-2554
(612) 822-1484
(612) 822-9458
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9045
MN
1223G0001X
General Practice Dentistry
D9138
MN
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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