Organization
ANDERSON & BREDING DENTAL LLC
Active
Other names
Anderson Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY JON ANDERSON DDS (CO-OWNER)
(701) 232-1368
Entity
Organization
Contact information
Practice address
4521 38TH AVE. S., FARGO, ND 58104
(701) 232-1368
(701) 232-4746
Mailing address
4521 38TH AVE. S., FARGO, ND 58104
(701) 232-1368
(701) 232-4746
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
ND1601
ND
261QD0000X
Dental Clinic/Center
Primary
ND2045
ND
261QD0000X
Dental Clinic/Center
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—
Other
Enumeration date
03/11/2013
Last updated
09/25/2020
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