Chicago Lake Dental
Chicago Lake Dental is a General Practice Dentistry in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
2900 Chicago AveMinneapolis, MN 55407-1322
Phone: (612) 823-2080
Fax: (612) 823-5777
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D9512 (MN) |
|---|
Record details
| NPI number | 1497936389 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Johnson — Owner · (612) 823-2080 |
| NPI enumerated | November 19, 2007 |
| Last updated in NPPES | November 19, 2007 |
| Mailing address | 2900 Chicago Ave, Minneapolis, MN 55407-1322 |
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