Individual
DR. DOUGLAS TAYLOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
552 S WASHINGTON ST, SUITE 220, NAPERVILLE, IL 60540-6658
(630) 357-2525
Mailing address
552 S WASHINGTON ST, SUITE 220, NAPERVILLE, IL 60540-6670
(630) 357-2525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018954
IL
1223D0001X
Public Health Dentistry
019018954
IL
Other
Enumeration date
03/11/2008
Last updated
05/22/2008
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