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Organization
ANDERSON DENTAL, P.C.
Active
Organization
ANDERSON DENTAL, P.C.
Active
Other names
Victor Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY MICHAEL ANDERSON D.D.S. (PRESIDENT)
(406) 642-3771
Entity
Organization
Contact information
Practice address
2412 MERIDIAN RD., VICTOR, MT 59875
(406) 642-3771
(406) 642-3646
Mailing address
2412 MERIDIAN RD., P.O. BOX 27, VICTOR, MT 59875
(406) 642-3771
(406) 642-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2307
MT
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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