Damon a Anderson, Dds, PC

NPI #1275724304 in Boise, Idaho

Provider Information

NPI Number: 1275724304
Entity Type: Organization
Organization Name: Damon a Anderson, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 2455 N MILWAUKEE ST
City: Boise
State: Idaho
ZIP Code: 83704-5736
Phone: (208) 376-2721

Authorized Official

Name: MRS. TERESA D JARDINE
Title: OFFICE ADMINISTRATOR
Phone: (208) 376-2721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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