Blaine Dental Llc Dba Pro Dental

NPI 1063768687 - Dentist - 122300000X

NPI Details
NPI 1063768687
Enumeration Date 08/01/2012
Last Updated 08/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ARIF ARIF
Position BDS
Phone (763) 231-2050
Fax (763) 231-2052
Practice Location
10210 BALTIMORE ST NE
SUITE 100
BLAINE MN, 55449-6049, US
Phone (763) 231-2050
Fax (763) 231-2052
Business Location
10210 BALTIMORE ST NE
SUITE 100
BLAINE MN, 55449-6049, US
Phone (763) 231-2050
Fax (763) 231-2052
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Blaine Dental Llc Dba Pro Dental NPI is 1063768687, taxonomy code is 122300000X Blaine Dental Llc Dba Pro Dental physically located at 10210 Baltimore St Ne, Blaine MN, 55449-6049. NPI Number 1033115704 has the healthcare provider type.

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1063768687 NPI number is provided on an as is basis without warranty of any kind. 1063768687 is maintained by the National Plan & Provider Enumeration System. The contents of Blaine Dental Llc Dba Pro Dental are for informational purposes only.