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1831286137
RICHARD JOSEPH PROKOSCH
MAPLEWOOD, MN
NPI
1831286137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN 7345MN)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Dr. RICHARD JOSEPH PROKOSCH
1736 EAST COPE AVE
MAPLEWOOD, MN 55109-2610
Phone number: 651-770-3831
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Mailing Address
Dr. RICHARD JOSEPH PROKOSCH
1736 EAST COPE AVE
MAPLEWOOD, MN 55109-2610
Phone number: 651-770-3831
Copy
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