John S Anderson

NPI #1215387501 in Champaign, Illinois

Provider Information

NPI Number
1215387501
Entity Type
Individual
Name
John S Anderson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 16, 2016
Last Updated
Jun 16, 2016

Practice Location

Address
819 BLOOMINGTON RD
ZIP Code
61820-2101
Phone
(217) 403-5477

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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