Alex Provo
NPI #1750762555 in Ada, Minnesota
Provider Information
- NPI Number
- 1750762555
- Entity Type
- Individual
- Name
- Alex Provo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 17, 2015
- Last Updated
- Jun 17, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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