DR. Wallace Jay Anderson, DDS

NPI #1518041797 in Arden Hills, Minnesota

Provider Information

NPI Number: 1518041797
Entity Type: Individual
Name: DR. Wallace Jay Anderson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1260 COUNTY ROAD E WEST
City: Arden Hills
State: Minnesota
ZIP Code: 55112-3737
Phone: (651) 639-0452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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