Individual
DR. CASEY ALAN CHANTELOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1340 DUCKWOOD DR, EAGAN, MN 55123-2324
(651) 209-9999
(651) 209-0396
Mailing address
1449 ASHLAND AVE, SAINT PAUL, MN 55104-6707
(715) 222-1354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13277
MN
Other
Enumeration date
06/19/2013
Last updated
06/24/2013
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