Individual
THOMAS A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1935 1ST AVE SE, CEDAR RAPIDS, IA 52402-5332
(319) 364-7108
(319) 364-6529
Mailing address
1935 1ST AVE SE, CEDAR RAPIDS, IA 52402-5332
(319) 364-7108
(319) 364-6529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06550
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170597
—
IA
Enumeration date
11/07/2006
Last updated
07/08/2007
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