DR. Mark William Anderson, D.D.S.
NPI #1245399096 in Blue Island, Illinois
Provider Information
- NPI Number
- 1245399096
- Entity Type
- Individual
- Name
- DR. Mark William Anderson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Dec 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2320 WALNUT ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2106
- Phone
- (708) 371-3311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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