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Alex Provo

Alex Provo is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 200 E Main St, Ada, MN 56510-1354, US
Practice Location Phone218-784-7119
Practice Location Fax
GenderMale
Specialty InDentist
NPI ?1750762555
Entity TypeIndividual
Enumeration Date ? Jun 17, 2015
Last Update Date ? Jun 17, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Alex Provo

SpecialtySpecializationLicenseLicense State
Dentist D13521Minnesota