Organization
BRIAN E. ANDERSON, D.D.S., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDWARD ANDERSON D.D.S. (SOLE MEMBER)
(906) 485-5575
Entity
Organization
Contact information
Practice address
125 N. PANSY ST, ISHPEMING, MI 49849
(906) 485-5575
(906) 485-1260
Mailing address
125 N. PANSY ST, ISHPEMING, MI 49849
(906) 485-5575
(906) 485-1260
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901019979
MI
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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