# ROBERT E ANDERSON DMD, INC

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

## Provider details

- **NPI number:** 1336910934
- **Authorized official:** ROBERT ANDERSON DMD (ENDODONTIST)
- **Authorized official phone:** (503) 704-3957

## Contact information

- **Practice address:** 2200 PACIFIC COAST HWY STE 201, HERMOSA BEACH, CA 90254-2701
- **Practice address phone:** (503) 704-3957
- **Mailing address:** 14060 MARQUESAS WAY APT 2301, MARINA DEL REY, CA 90292-7499
- **Mailing address phone:** (503) 704-3957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2024
- **Last updated:** 01/11/2024