| NPI | 1730256132 |
|---|---|
| Doing Business As | ANDOVER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ETHAN R CHUTE President 763-427-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D11439) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-06-19 |