Organization
DAVID ANDERSON PLLC
Active
Other names
Agua Fria Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDERSON DMD (OWNER)
(480) 202-0644
Entity
Organization
Contact information
Practice address
11126 W WISCONSIN AVE STE 1, YOUNGTOWN, AZ 85363-1068
(480) 202-0644
Mailing address
11126 W WISCONSIN AVE STE 1, YOUNGTOWN, AZ 85363-1068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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