Theodore Michael Anderson, DMD

NPI #1134178163 in Sheboygan, Wisconsin

Provider Information

NPI Number
1134178163
Entity Type
Individual
Name
Theodore Michael Anderson, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
May 8, 2006
Last Updated
Jan 6, 2009

Practice Location

Address
3637 WILGUS AVENUE
ZIP Code
53081
Phone
(920) 458-8213

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Organizations

Provider Name
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