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Organization
ROBERT E ANDERSON DDS A PROFESSIONAL DENTAL CORP
Active
Organization
ROBERT E ANDERSON DDS A PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E ANDERSON D.D.S. (PRESIDENT)
(530) 622-9068
Entity
Organization
Contact information
Practice address
4300 GOLDEN CENTER DR, SUITE G, PLACERVILLE, CA 95667-6278
(530) 622-9068
(530) 622-9055
Mailing address
4300 GOLDEN CENTER DR, SUITE G, PLACERVILLE, CA 95667-6278
(530) 622-9068
(530) 622-9055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
97193
CA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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