| NPI | 1245973817 |
|---|---|
| Doing Business As | PRO DENTAL |
| Entity Type | Organization |
| Authorized Contact | ARIF NAZIR Owner 763-231-2050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-06-07 |