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Individual

DR. CLENNAN C ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
515 DELAWARE ST SE, 7TH FLOOR MMHST, MINNEAPOLIS, MN 55455-0348
(612) 624-9959
Mailing address
515 DELAWARE ST SE, 7TH FLOOR MMHST, MINNEAPOLIS, MN 55455-0348
(612) 624-9959

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7283
MN

Other

Enumeration date
06/28/2006
Last updated
07/08/2007
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