Individual
DR. CHRIS A LEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
(612) 625-5430
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0340
(612) 625-5430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12123
MN
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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