Individual
DR. RYAN JAMES ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6120 BROOKLYN BLVD, STE 201, HERITAGE DENTAL, NEW HOPE, MN 55427
(763) 537-6070
Mailing address
13870 52ND AVE N, PLYMOUTH, MN 55446
(612) 760-0924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11662
MN
Other
Enumeration date
01/28/2006
Last updated
07/08/2007
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