Blaine Dental LLC DBA Pro Dental

NPI #1063768687 in Blaine, Minnesota

Provider Information

NPI Number: 1063768687
Entity Type: Organization
Organization Name: Blaine Dental LLC DBA Pro Dental
Primary Specialty: Dentist
Enumeration Date: Aug 1, 2012
Last Updated: Aug 1, 2012

Practice Location

Address: 10210 BALTIMORE ST NE
Address 2: SUITE 100
City: Blaine
State: Minnesota
ZIP Code: 55449-6049
Phone: (763) 231-2050

Authorized Official

Name: DR. ARIF NAZIR, BDS
Title: BDS
Phone: (763) 231-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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