Organization
MARK W ANDERSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM ANDERSON DDS (DENTIST OWNER)
(480) 633-3447
Entity
Organization
Contact information
Practice address
4824 E BASELINE RD, BLDG 3 SUITE122, MESA, AZ 85206-4676
(480) 633-3447
(480) 633-3449
Mailing address
4824 E BASELINE RD, BLDG 3 SUITE122, MESA, AZ 85206-4676
(480) 633-3447
(480) 633-3449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4831
AZ
Other
Enumeration date
01/23/2007
Last updated
01/14/2013
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