Individual
DR. ROBERT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3775 STOCKTON HILL RD STE C, KINGMAN, AZ 86409
(928) 692-9135
(928) 692-9408
Mailing address
3775 STOCKTON HILL RD STE C, KINGMAN, AZ 86409
(928) 692-9135
(928) 692-9408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D-3383
ID
1223G0001X
General Practice Dentistry
Primary
D008607
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779810
—
AZ
Enumeration date
07/31/2006
Last updated
06/25/2015
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