POURNAWATTIE ANDREA CHANDRADATT

BLOOMINGTON, MN
NPI1972162527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D14249)
Enumeration Date2019-06-07
Last Update Date2019-06-07
Business Address
POURNAWATTIE ANDREA CHANDRADATT DDS
7936 PORTLAND AVE S
BLOOMINGTON, MN 55420-1315
Phone number: 763-600-8613
Mailing Address
POURNAWATTIE ANDREA CHANDRADATT DDS
15769 WYOMING AVE
SAVAGE, MN 55378-6627
Phone number: 612-803-7113
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