Organization
ROBERT ANDERSON DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM ANDERSON DDS, MSD (PRESIDENT)
(707) 422-2190
Entity
Organization
Contact information
Practice address
3694 HILBORN RD, SUITE 202, FAIRFIELD, CA 94534-7988
(707) 422-2190
Mailing address
3694 HILBORN RD, SUITE 202, FAIRFIELD, CA 94534-7988
(707) 422-2190
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39508
CA
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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