Individual
DR. GERALD FRANK PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
6800 MONTGOMERY BLVD NE, SUITE B, ALBUQUERQUE, NM 87109-1405
(505) 881-1100
(505) 884-2933
Mailing address
6800 MONTGOMERY BLVD NE, SUITE B, ALBUQUERQUE, NM 87109-1405
(505) 881-1100
(505) 884-2933
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
826
NM
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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