Individual
DR. ANDREW THOMAS CHADBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9120 BALTIMORE ST NE, BLAINE, MN 55449-4337
(763) 786-1560
(763) 786-4390
Mailing address
9120 BALTIMORE ST NE, BLAINE, MN 55449-4337
(763) 786-1560
(763) 786-4390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13439
MN
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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