Individual
CHARLES T ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DS
Contact information
Practice address
1521 N HARRISON AVE, PIERRE, SD 57501-2372
(605) 224-6111
Mailing address
1521 N HARRISON AVE, PIERRE, SD 57501-2372
(605) 224-6111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M540
SD
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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