Individual
DR. LEE STEVEN PROHOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14000 NORTHDALE BLVD STE J, ROGERS, MN 55374-4663
(763) 428-2300
(763) 428-4031
Mailing address
14000 NORTHDALE BLVD STE J, ROGERS, MN 55374-4663
(763) 428-2300
(763) 428-4031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10843
MN
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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