# KITRIDGE ANDERSON, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154558898
- **Authorized official:** DR. KITRIDGE GREGORY ANDERSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (989) 733-8533

## Contact information

- **Practice address:** 4080 MICHIGAN AVE, ONAWAY, MI 49765-8852
- **Practice address phone:** (989) 733-8533
- **Practice address fax:** (989) 733-8533
- **Mailing address:** 4080 MICHIGAN AVE, ONAWAY, MI 49765-8852
- **Mailing address phone:** (989) 733-8533
- **Mailing address fax:** (989) 733-8533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17375 | MI | Yes |

## Other

- **Enumeration date:** 06/21/2009
- **Last updated:** 06/21/2009