Organization
DAMON A. ANDERSON DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON ASHLEY ANDERSON D.D.S. (OWNER)
(208) 376-2721
Entity
Organization
Contact information
Practice address
2455 N MILWAUKEE ST, BOISE, ID 83704-5736
(208) 376-2721
(208) 376-2756
Mailing address
PO BOX 80547666, SIOUX FALLS, SD 57186-0001
(208) 371-2086
(208) 376-2756
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-3787
ID
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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