Individual
DR. RICHARD JOSEPH PROKOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1736 EAST COPE AVE, MAPLEWOOD, MN 55109-2610
(651) 770-3831
(651) 770-9645
Mailing address
1736 EAST COPE AVE, MAPLEWOOD, MN 55109-2610
(651) 770-3831
(651) 770-9645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7345MN
MN
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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