Pournawattie Andrea Chandradatt, DDS
NPI #1972162527 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1972162527
- Entity Type
- Individual
- Name
- Pournawattie Andrea Chandradatt, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 7, 2019
- Last Updated
- Jun 7, 2019
Practice Location
- Address
- 7936 PORTLAND AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-1315
- Phone
- (763) 600-8613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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