Individual
DR. WENDELL GROSS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
152 HIGH ST, WAREHAM, MA 02571
(508) 295-2111
(508) 295-5186
Mailing address
152 HIGH ST, GATEWAY DENTAL ASSOC OF WAREHAM, WAREHAM, MA 02571
(508) 295-2111
(508) 295-5186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14481
MA
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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