LAKE STREET DENTAL is a general practice dentist in Minneapolis, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKE STREET DENTAL NPI is 1184829509. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1508 E LAKE ST
MINNEAPOLIS, MN
ZIP 55407-720
Phone: (612) 724-1717
The provider's authorized official is Renee Camara Good .
The authorized official title is Periosontist and has the following contact phone number (612) 724-1717.
The enumeration date for this NPI number is 6/16/2007 and was last updated on 8/22/2020.