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DR. ASHBY L. CHADBURN D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1639382377

Individual Registrant:
DR. ASHBY L. CHADBURN D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
217 MATHESON ST  HEALDSBURG, CA 95448-4109 US
Tel: 707-433-5557  Fax: 707-433-1074

Contact information for business:
217 MATHESON ST  HEALDSBURG, CA 95448-4109 US
Tel: 707-433-5557  Fax: 707-433-1074

Registration Information:
NPI: 1639382377
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA23719

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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