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1770095028
CHICAGO LAKE FAMILY DENTAL LLC
MINNEAPOLIS, MN
NPI
1770095028
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Entity Type
Organization
Authorized Contact
ALI BARBARAWI
General Dentist
612-823-2080
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
CHICAGO LAKE FAMILY DENTAL LLC
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407-1322
Phone number: 612-823-2080
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Mailing Address
CHICAGO LAKE FAMILY DENTAL LLC
4893 BOATMAN LN
INVER GROVE HEIGHTS, MN 55076-1160
Phone number:
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