Individual
THOMAS CLOUD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 WARD ROAD, LUGOFF, SC 29078-0325
(803) 438-1845
(803) 438-6292
Mailing address
PO BOX 325, LUGOFF, SC 29078-0325
(803) 438-1845
(803) 438-6292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC 1910
SC
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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