Individual
DR. GERALD AMOS ANDERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
730 SELMA AVE, SELMA, AL 36701-4648
(334) 875-7031
Mailing address
730 SELMA AVE, SELMA, AL 36701-4648
(334) 875-7031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4485
AL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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