NPI | 1215097134 |
---|---|
Doing Business As | TURTLE COVE DENTAL |
Entity Type | Organization |
Authorized Contact | LEE STEVEN PROHOFSKY President,Owner 763-428-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 10843) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |