Individual
CHASE THOMAS BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 E MAIN ST, MELROSE, MN 56352-4524
(320) 256-4267
Mailing address
5850 169TH AVE NW, RAMSEY, MN 55303-5896
(612) 799-9592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14579
MN
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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