Long Lake Family Denistry
NPI #1134574163 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1134574163
- Entity Type
- Organization
- Organization Name
- Long Lake Family Denistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 27, 2016
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 991 9TH AVE NW
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-2665
- Phone
- (651) 633-1311
Authorized Official
- Name
- DR. HOSSEIN A JALALI, DDS
- Title
- OWNER
- Phone
- (651) 633-1311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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