Individual
DR. EDIRIN G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
131 A-B DORMAN CENTRE DR., SPARTANBURG, SC 29301
(864) 576-6600
Mailing address
131 A-B DORMAN CENTRE DR., SPARTANBURG, SC 29301
(864) 576-6600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3978
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3978
—
SC
Enumeration date
05/04/2006
Last updated
03/09/2017
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