# MARK W ANDERSON DDS PC

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

## Provider details

- **NPI number:** 1467507418
- **Authorized official:** DR. MARK WILLIAM ANDERSON DDS (DENTIST OWNER)
- **Authorized official phone:** (480) 633-3447

## Contact information

- **Practice address:** 4824 E BASELINE RD, BLDG 3 SUITE122, MESA, AZ 85206-4676
- **Practice address phone:** (480) 633-3447
- **Practice address fax:** (480) 633-3449
- **Mailing address:** 4824 E BASELINE RD, BLDG 3 SUITE122, MESA, AZ 85206-4676
- **Mailing address phone:** (480) 633-3447
- **Mailing address fax:** (480) 633-3449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4831 | AZ | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 01/14/2013