Organization · Type 2 NPI

Chicago Lake Family Dental LLC

Dental Clinic/Center · Minneapolis, MN

NPI number 1770095028 Active

About NPI 1770095028

Chicago Lake Family Dental LLC's National Provider Identifier is 1770095028, issued on Oct 26, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 26, 2017.