DR. Andrew Thomas Chadbourn, DMD

NPI #1184030686 in Blaine, Minnesota

Provider Information

NPI Number: 1184030686
Entity Type: Individual
Name: DR. Andrew Thomas Chadbourn, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 3, 2014
Last Updated: Jul 3, 2014

Practice Location

Address: 9120 BALTIMORE ST NE
City: Blaine
State: Minnesota
ZIP Code: 55449-4337
Phone: (763) 786-1560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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