| Blaine Dental Llc Dba Pro Dental | |
|
10210 Baltimore St Ne Suite 100 Blaine MN 55449-6049 | |
| (763) 231-2050 | |
| (763) 231-2052 |
| Full Name | Blaine Dental Llc Dba Pro Dental |
|---|---|
| Speciality | Dentist |
| Location | 10210 Baltimore St Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Arif Nazir (BDS) |
| Authorized Official Contact | 7632312050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Dental Llc Dba Pro Dental 10210 Baltimore St Ne Suite 100 Blaine MN 55449-6049 Ph: (763) 231-2050 | Blaine Dental Llc Dba Pro Dental 10210 Baltimore St Ne Suite 100 Blaine MN 55449-6049 Ph: (763) 231-2050 |
| NPI Number | 1063768687 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063768687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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