| NPI | 1932206539 |
|---|---|
| Doing Business As | UPTOWN SMILE |
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES PROCHASKA President 612-822-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |