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Organization
DAMON A. ANDERSON DDS, PC
Active
Organization
DAMON A. ANDERSON DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON ASHLEY ANDERSON D.D.S. (OWNER)
(208) 376-2721
Entity
Organization
Contact information
Practice address
2455 N MILWAUKEE ST, BOISE, ID 83704-5736
(208) 376-2721
(208) 376-2756
Mailing address
PO BOX 80547666, SIOUX FALLS, SD 57186-0001
(208) 371-2086
(208) 376-2756
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-3787
ID
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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