Individual
DR. ANGELA THEODORA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.S.
Contact information
Practice address
45 W 54TH ST, SUITE #1E, NEW YORK, NY 10019-5404
(212) 724-8400
(212) 945-6219
Mailing address
300 RECTOR PL, #5J, NEW YORK, NY 10280-1416
(212) 724-8400
(212) 945-6219
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
044932
NY
Other
Enumeration date
05/26/2007
Last updated
03/04/2015
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