DR. Casey Alan Chantelois, D.D.S.

NPI #1871932236 in Eagan, Minnesota

Provider Information

NPI Number: 1871932236
Entity Type: Individual
Name: DR. Casey Alan Chantelois, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 19, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 1340 DUCKWOOD DR
City: Eagan
State: Minnesota
ZIP Code: 55123-2324
Phone: (651) 209-9999

Specialties & Taxonomy Codes

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

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