NPI 1003654104

Proactive Healthcare Education Center

Organisation Public Health Dentistry Minneapolis, MN

Practice location

Address: 334 E Lake St STE 105, Minneapolis, MN 55408-2485
Phone: (310) 883-8932

Authorised official

Name: Solaman Shire
Title: Owner
Phone: (310) 883-8932

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X

Other Dentist providers in Minnesota →

Registry record

NPI: 1003654104
Entity type: Organization
NPI issued: 15 Jul 2024
Record last updated: 16 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.