DR. Gerald Ellis Anderson, D.M.D.

NPI #1619975281 in Keizer, Oregon

Provider Information

NPI Number: 1619975281
Entity Type: Individual
Name: DR. Gerald Ellis Anderson, D.M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 8, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 3975 RIVER RD N
Address 2: SUITE #5
City: Keizer
State: Oregon
ZIP Code: 97303-4811
Phone: (503) 393-9106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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