Organization
TRENT M. ANDERSON, D.D.S., P.L.L.C.
Active
Other names
Sun Ray Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT MITCHEL ANDERSON D.D.S. (OWNER/PRESIDENT)
(651) 353-6651
Entity
Organization
Contact information
Practice address
1871 OLD HUDSON RD, SAINT PAUL, MN 55119-4308
(651) 738-0900
Mailing address
1871 OLD HUDSON RD, SAINT PAUL, MN 55119-4308
(651) 738-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11423
MN
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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