Anderson Dental Group

NPI #1316136542 in Payson, Arizona

Provider Information

NPI Number: 1316136542
Entity Type: Organization
Organization Name: Anderson Dental Group
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2007
Last Updated: Jul 20, 2009

Practice Location

Address: 712 N BEELINE HWY
City: Payson
State: Arizona
ZIP Code: 85541-3706
Phone: (928) 474-4581

Authorized Official

Name: ERIC J ANDERSON, D.D.S.
Title: OWNER
Phone: (928) 474-4581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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