NPI 1194885095
Lee Steven Prohofsky, DDS
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
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.