Paul V Anderson DDS LLC

NPI #1619250792 in Grants Pass, Oregon

Provider Information

NPI Number: 1619250792
Entity Type: Organization
Organization Name: Paul V Anderson DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 24, 2011
Last Updated: Sep 24, 2011

Practice Location

Address: 2900 NW VINE ST
Address 2: SUITE L
City: Grants Pass
State: Oregon
ZIP Code: 97526-8411
Phone: (541) 471-1990

Authorized Official

Name: DR. PAUL VERNON ANDERSON, D.D.S
Title: OWNER
Phone: (541) 471-1990

Specialties & Taxonomy Codes

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

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