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DR. ASHBY L. CHADBURN D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1639382377
Individual Registrant:DR. ASHBY L. CHADBURN D.D.S.
Gender: M
Sole Proprietor
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
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
Tel: 707-433-5557 Fax: 707-433-1074
Registration Information:
NPI: 1639382377
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 23719 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
