Organization
SCOTT R ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R ANDERSON (DENTIST)
(218) 365-3194
Entity
Organization
Contact information
Practice address
33 E CHAPMAN ST, ELY, MN 55731-1227
(218) 365-3194
(218) 365-5613
Mailing address
33 E CHAPMAN ST, ELY, MN 55731-1227
(218) 365-3194
(218) 365-5613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9236
MN
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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