Thomas Andersen, D.D.S.

NPI #1407043417 in Brookfield, Wisconsin

Provider Information

NPI Number: 1407043417
Entity Type: Individual
Name: Thomas Andersen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 3, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 14265 SUNRISE AVE
City: Brookfield
State: Wisconsin
ZIP Code: 53005-1122
Phone: (262) 373-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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