Individual
DR. CARL DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12242 SILLIMAN ST, CLINTON, LA 70722
(225) 683-5413
(225) 683-5111
Mailing address
PO BOX 8345, CLINTON, LA 70722
(225) 683-5413
(225) 683-5111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3925
LA
Other
Enumeration date
08/02/2006
Last updated
12/16/2016
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