| NPI | 1265531685 |
|---|---|
| Doing Business As | CANNON FALLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES PROCHASKA Managing Owner 507-263-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |