Organization
DAN M. PROESCHEL
Active
Other names
Lake Nokomis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAN M PROESCHEL DDS (OWNER)
(612) 729-6150
Entity
Organization
Contact information
Practice address
4927 34TH AVE S, MINNEAPOLIS, MN 55417-1552
(612) 729-6150
(612) 722-8817
Mailing address
4927 34TH AVE S, MINNEAPOLIS, MN 55417-1552
(612) 729-6150
(612) 722-8817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7926
MN
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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