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Organization
RICHARD ANDERSON DDS
Active
Organization
RICHARD ANDERSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL ANDERSON D.D.S. (PRESIDENT)
(707) 545-0944
Entity
Organization
Contact information
Practice address
90 DOCTORS PARK DRIVE, SANTA ROSA, CA 95405-9998
(707) 545-0944
(707) 545-0947
Mailing address
90 A DOCTORS PARK DRIVE, SANTA ROSA, CA 95405-9998
(707) 545-0944
(707) 545-0947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265558605
NPPES
CA
Enumeration date
04/13/2009
Last updated
04/13/2009
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