Lee Prohofsky Dds Pa

NPI 1215097134 - Dentist - 1223G0001X

NPI Details
NPI 1215097134
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEE STEVEN LEE
Position PRESIDENT,OWNER
Phone (763) 428-2300
Fax (763) 428-4031
Practice Location
14000 NORTHDALE BLVD STE J
ROGERS MN, 55374-4663, US
Phone (763) 428-2300
Fax (763) 428-4031
Business Location
14000 NORTHDALE BLVD STE J
ROGERS MN, 55374-4663, US
Phone (763) 428-2300
Fax (763) 428-4031
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 10843
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According to our database, Lee Prohofsky Dds Pa NPI is 1215097134, taxonomy code is 1223G0001X and license number is 10843, license state is located at Minnesota. Lee Prohofsky Dds Pa physically located at 14000 Northdale Blvd Ste J, Rogers MN, 55374-4663. NPI Number 1033115704 has the healthcare provider type.

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1215097134 NPI number is provided on an as is basis without warranty of any kind. 1215097134 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Prohofsky Dds Pa are for informational purposes only.