DR. Thane B Anderson, D.D.S.

NPI #1104837921 in Stoughton, Wisconsin

Provider Information

NPI Number
1104837921
Entity Type
Individual
Name
DR. Thane B Anderson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1520 VERNON ST
ZIP Code
53589-2260
Phone
(608) 873-3213

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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