Casey Alan Chantelois D.D.S.

NPI 1871932236 - Dentist - 1223G0001X

NPI Details
NPI 1871932236
Gender Male
Enumeration Date 06/19/2013
Last Updated 06/24/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1340 DUCKWOOD DR
EAGAN MN, 55123-2324, US
Phone (651) 209-9999
Fax (651) 209-0396
Business Location
1449 ASHLAND AVE
SAINT PAUL MN, 55104-6707, US
Phone (715) 222-1354
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D13277
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According to our database, Dr. Casey Alan Chantelois D.D.S. NPI is 1871932236, taxonomy code is 1223G0001X and license number is D13277, license state is located at Minnesota. Casey Alan Chantelois D.D.S. physically located at 1340 Duckwood Dr, Eagan MN, 55123-2324. NPI Number Casey Alan Chantelois D.D.S. has the Individual type.

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1871932236 NPI number is provided on an as is basis without warranty of any kind. 1871932236 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Alan Chantelois D.D.S. are for informational purposes only.