Individual
DR. GARY NELSON ANDERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16105 FREDERICK RD, LISBON, MD 21765
(410) 489-4900
(410) 489-4900
Mailing address
26140 VIEWLAND DR, DAMASCUS, MD 20872-1231
(301) 253-4606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6247
MD
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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