ALEX PROVO

specializing in dentist in Ada, Minnesota

NPI: 1750762555

Provider Type

1

Practice Locations

Mailing Location

18185 PARK DR

DETROIT LAKES, MN 56501

Practice Location

200 E MAIN ST

ADA, MN 56510

📞 2187847119

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:6/17/2015
Last Updated:6/17/2015

Credentials

Primary Credential:
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