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Pournawattie Andrea Chandradatt, DDS
General Practice Dentistry in Bloomington, Minnesota
NPI 1972162527

Pournawattie Andrea Chandradatt is a General Practice Dentistry based in Savage, MN and is specialized in General Practice. Pournawattie Andrea Chandradatt practices in Bloomington, MN and has the professional credentials of DDS. The NPI Number for Pournawattie Andrea Chandradatt is 1972162527 and holds a License No. D14249 (Minnesota).

The current practice location address for Pournawattie Andrea Chandradatt is 7936 Portland Ave S, Bloomington, MN and can be reached out via phone at 763-600-8613.

Location: 7936 Portland Ave S, Bloomington, MN, 55378-6627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972162527
Provider Name
Pournawattie Andrea Chandradatt
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
7936 Portland Ave S, Bloomington, MN, 55378-6627
Phone Number
763-600-8613
Fax Number
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7936 Portland Ave S
City
Bloomington
State
Minnesota
Zip
55420-1315
Phone Number
763-600-8613
Fax Number
person
Provider Business Mailing Address Details
Address
7936 Portland Ave S
City
Bloomington
State
Minnesota
Zip
55420-1315
Phone Number
763-600-8613
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D14249 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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