Individual
DR. RONNIE LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2220 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 390-6616
(937) 390-9706
Mailing address
2220 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 390-6616
(937) 390-9706
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15020
OH
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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