Individual
DR. DEVREN CLAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6104 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
(605) 274-6191
(605) 274-6192
Mailing address
6104 S LYNCREST AVE, SIOUX FALLS, SD 57108-2560
(605) 274-6191
(605) 274-6192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0918
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490632200
—
MN
Enumeration date
12/18/2006
Last updated
08/30/2010
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