NPI | 1093828261 |
---|---|
Doing Business As | LOWRY HILL DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | PATICK JAMES PROCHASKA Partner 612-823-7942 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D9045) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D9138) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2020-08-22 |