Individual
DR. TAMMY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
918 MARKET ST, PO BOX 328, PERHAM, MN 56573
(218) 346-7186
(218) 346-7182
Mailing address
918 MARKET ST, PO BOX 328, PERHAM, MN 56573
(218) 346-7186
(218) 346-7182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12405
MN
1223G0001X
General Practice Dentistry
D12405
MN
Other
Enumeration date
06/06/2007
Last updated
07/15/2024
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