Individual
SCOTT ROBERT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33 E CHAPMAN ST, ELY, MN 55731-1227
(218) 365-3194
Mailing address
33 E CHAPMAN ST, ELY, MN 55731-1227
(218) 365-3194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9236
MN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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