Organization
LACHANCE ENTERPRISES PA
Active
Other names
Greenway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM LACHANCE DDS (OWNER)
(612) 424-6850
Entity
Organization
Contact information
Practice address
2309 LYNDALE AVE S, MINNEAPOLIS, MN 55405-3661
(612) 424-6850
Mailing address
2309 LYNDALE AVE S, MINNEAPOLIS, MN 55405-3661
(612) 424-6850
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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