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Organization

CANNON FALLS DENTAL LLC

Active
Other names
Cannon Falls Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK JAMES PROCHASKA D.D.S. (MANAGING OWNER)
(507) 263-2411
Entity
Organization

Contact information

Practice address
411 MAIN ST W, CANNON FALLS, MN 55009-2044
(507) 263-2411
(507) 263-2413
Mailing address
411 MAIN ST W, P. O. BOX 17, CANNON FALLS, MN 55009-2044
(507) 263-2411
(507) 263-2413

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/22/2006
Last updated
08/22/2020
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