Individual
DR. SUSAN C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2716 UPPER AFTON ROAD, SAINT PAUL, MN 55119-4780
(651) 739-5110
(651) 739-1873
Mailing address
2716 UPPER AFTON ROAD, SAINT PAUL, MN 55119-4780
(651) 739-5110
(651) 739-1873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9430
MN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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