DR. Susan P Anderson, D.D.S.

NPI #1275549313 in Roscoe, Illinois

Provider Information

NPI Number: 1275549313
Entity Type: Individual
Name: DR. Susan P Anderson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5412 BRIDGE ST
Address 2: SUITE A
City: Roscoe
State: Illinois
ZIP Code: 61073-8571
Phone: (815) 623-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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