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NPI 1770095028

OrganizationActive

Chicago Lake Family Dental LLC

NPI 1770095028 · Dental Clinic/Center · Minneapolis, MN

Provider details

NPI number: 1770095028
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Ali Barbarawi, General Dentist

Practice location

2900 Chicago Ave

Minneapolis, MN 55407-1322

Phone: (612) 823-2080

More MN providers

Mailing address

4893 Boatman Ln

Inver Grove Heights, MN 55076-1160

Registry dates

Enumerated: 2017-10-26
Last updated: 2017-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Chicago Lake Family Dental LLC — NPI 1770095028, Minneapolis, MN | NPI Central