James R. Anderson Dmd, P.c.

NPI #1770628976 in Gresham, Oregon

Provider Information

NPI Number: 1770628976
Entity Type: Organization
Organization Name: James R. Anderson Dmd, P.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 19059 SE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-5165
Phone: (503) 761-4711

Authorized Official

Name: DR. JAMES R. ANDERSON, DMD
Title: PRESIDENT
Phone: (503) 761-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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