Cannon Falls Dental LLC

NPI #1265531685 in Cannon Falls, Minnesota

Provider Information

NPI Number: 1265531685
Entity Type: Organization
Organization Name: Cannon Falls Dental LLC
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 411 MAIN ST W
City: Cannon Falls
State: Minnesota
ZIP Code: 55009-2044
Phone: (507) 263-2411

Authorized Official

Name: DR. PATRICK JAMES PROCHASKA, D.D.S.
Title: MANAGING OWNER
Phone: (507) 263-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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