Organization
CHICAGO LAKE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI BARBARAWI DMD (GENERAL DENTIST)
(612) 823-2080
Entity
Organization
Contact information
Practice address
2900 CHICAGO AVE, MINNEAPOLIS, MN 55407-1322
(612) 823-2080
Mailing address
4893 BOATMAN LN, INVER GROVE HEIGHTS, MN 55076-1160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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