200 E MAIN ST
ADA, MN 56510-1354 US PECOS Enrolled
Overview
Alex Provo is a Dentist in the ADA area. Alex Provo primary office location is at 200 E MAIN ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1750762555 and the information was updated approximately 10 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| D13521 | MN |
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