DR. Roger Wynn Anderson, DDS
NPI #1184787657 in San Marino, California
Provider Information
- NPI Number
- 1184787657
- Entity Type
- Individual
- Name
- DR. Roger Wynn Anderson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1477 SAN MARINO AVENUE
- Address 2
- SUITE 1
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2053
- Phone
- (625) 796-6371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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