# DR. BONNIE J. ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871702282
- **Gender:** F
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1771 | ND | Yes |
| 1223G0001X | General Practice Dentistry | 1771 | ND | — |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 07/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 041045 | — | ND |
| 05 | — | 41045 | — | ND |