Organization
ANDERSON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC J ANDERSON D.D.S. (OWNER)
(928) 474-4581
Entity
Organization
Contact information
Practice address
712 N BEELINE HWY, PAYSON, AZ 85541-3706
(928) 474-4581
(928) 474-4584
Mailing address
712 N BEELINE HWY, PAYSON, AZ 85541-3706
(928) 474-4581
(928) 474-4584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5280
AZ
Other
Enumeration date
10/24/2007
Last updated
07/20/2009
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