CHICAGO LAKE FAMILY DENTAL LLC

MINNEAPOLIS, MN
NPI1770095028
Entity TypeOrganization
Authorized ContactALI BARBARAWI
General Dentist
612-823-2080
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2017-10-26
Last Update Date2017-10-26
Business Address
CHICAGO LAKE FAMILY DENTAL LLC
2900 CHICAGO AVE
MINNEAPOLIS, MN 55407-1322
Phone number: 612-823-2080
Mailing Address
CHICAGO LAKE FAMILY DENTAL LLC
4893 BOATMAN LN
INVER GROVE HEIGHTS, MN 55076-1160
Phone number: