Individual
DR. PATRICK JAMES PROCHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1516 W LAKE ST, SUITE 302, MINNEAPOLIS, MN 55408-2554
(612) 822-1484
(612) 822-9458
Mailing address
4712 PLEASANT AVE, MINNEAPOLIS, MN 55419-5439
(612) 823-7942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9045
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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