DR. Macy Ruth Anderson, D.D.S

NPI #1124641303 in Glendale, Wisconsin

Provider Information

NPI Number: 1124641303
Entity Type: Individual
Name: DR. Macy Ruth Anderson, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: May 22, 2020
Last Updated: Aug 16, 2022

Practice Location

Address: 5150 N PORT WASHINGTON RD STE 201
City: Glendale
State: Wisconsin
ZIP Code: 53217-5400
Phone: (414) 964-8850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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