Whalio Doctors

NPI 1194885095

Lee Steven Prohofsky, DDS

Practitioner General Practice Dentistry Rogers, MN

Practice location

Address
14000 Northdale Blvd STE J, Rogers, MN 55374-4663
Phone
(763) 428-2300
Fax
(763) 428-4031

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 10843 (MN)

Registry record

NPI
1194885095
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Dec 2006
Record last updated
8 Jul 2007

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.