DR. Larry Douglas Anderson, DDS, ABGD
NPI #1699825190 in Deadwood, South Dakota
Provider Information
- NPI Number
- 1699825190
- Entity Type
- Individual
- Name
- DR. Larry Douglas Anderson, DDS, ABGD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS, ABGD
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11736 IMPRESSIVE VIEW DRIVE
- City
- Deadwood
- State
- South Dakota
- ZIP Code
- 57732-0154
- Phone
- (605) 578-7519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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