| Lakeshore Dental | |
|
4700 Cedar Ave S Minneapolis MN 55407-3634 | |
| (240) 765-4938 | |
| Not Available |
| Full Name | Lakeshore Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4700 Cedar Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mohamed M Ali (OWNER) |
| Authorized Official Contact | 2407654938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental 4700 Cedar Ave S Minneapolis MN 55407-3634 Ph: () - | Lakeshore Dental 4700 Cedar Ave S Minneapolis MN 55407-3634 Ph: (240) 765-4938 |
| NPI Number | 1356801799 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356801799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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