Lakeshore Dental

NPI #1356801799 in Minneapolis, Minnesota

Provider Information

NPI Number: 1356801799
Entity Type: Organization
Organization Name: Lakeshore Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 21, 2019
Last Updated: Mar 21, 2019

Practice Location

Address: 4700 CEDAR AVE S
City: Minneapolis
State: Minnesota
ZIP Code: 55407-3634
Phone: (240) 765-4938

Authorized Official

Name: DR. MOHAMED M ALI, DDS
Title: OWNER
Phone: (240) 765-4938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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