Organization
GREG A. ANDERSON, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A. ANDERSON DDS (PRESIDENT)
(701) 577-2261
Entity
Organization
Contact information
Practice address
501 MAIN ST, SUITE 4, WILLISTON, ND 58801-5327
(701) 577-2261
(701) 577-0737
Mailing address
PO BOX 1127, WILLISTON, ND 58802-1127
(701) 577-2261
(701) 577-0737
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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