Individual
DAVID ERIC ANDERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19033 U.S. 71, PARK RAPIDS, MN 56470
(218) 732-3291
Mailing address
19033 U.S. 71, PARK RAPIDS, MN 56470
(218) 732-3291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10719
MN
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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