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1063768687
BLAINE DENTAL LLC DBA PRO DENTAL
BLAINE, MN
NPI
1063768687
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Entity Type
Organization
Authorized Contact
ARIF NAZIR
Bds
763-231-2050
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2012-08-01
Last Update Date
2012-08-01
Business Address
BLAINE DENTAL LLC DBA PRO DENTAL
10210 BALTIMORE ST NE SUITE 100
BLAINE, MN 55449-6049
Phone number: 763-231-2050
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Mailing Address
BLAINE DENTAL LLC DBA PRO DENTAL
10210 BALTIMORE ST NE SUITE 100
BLAINE, MN 55449-6049
Phone number: 763-231-2050
Copy
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