Uptown Smile | |
1516 W Lake St Suite 302 Minneapolis MN 55408-2554 | |
(612) 822-4184 | |
(612) 822-9458 |
Full Name | Uptown Smile |
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Speciality | Dentist - General Practice |
Location | 1516 W Lake St, Minneapolis, Minnesota |
Authorized Official Name and Position | Patrick James Prochaska (PRESIDENT) |
Authorized Official Contact | 6128221484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Uptown Smile 1516 W Lake St Suite 302 Minneapolis MN 55408-2554 Ph: (612) 822-4184 | Uptown Smile 1516 W Lake St Suite 302 Minneapolis MN 55408-2554 Ph: (612) 822-4184 |
NPI Number | 1932206539 |
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Provider Enumeration Date | 09/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932206539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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