DR. Tate Ezra Anderson, DDS

NPI #1568023471 in Greybull, Wyoming

Provider Information

NPI Number
1568023471
Entity Type
Individual
Name
DR. Tate Ezra Anderson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 23, 2019
Last Updated
Jun 23, 2019

Practice Location

Address
337 GREYBULL AVE
State
Wyoming
ZIP Code
82426-2049
Phone
(307) 765-4654

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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