Dr. Thane B. Anderson, Dds, LLC

NPI #1245420280 in Stoughton, Wisconsin

Provider Information

NPI Number
1245420280
Entity Type
Organization
Organization Name
Dr. Thane B. Anderson, Dds, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 26, 2007
Last Updated
Jun 21, 2018

Practice Location

Address
1520 VERNON ST
ZIP Code
53589-2260
Phone
(608) 873-3213

Authorized Official

Name
THANE B ANDERSON, DDS
Title
OWNER
Phone
(608) 873-3213

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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