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Individual

DIRK EDWARD ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1144 INDIA HOOK RD, SUITE E, ROCK HILL, SC 29732-2783
(803) 324-7640
(803) 324-4217
Mailing address
1144 INDIA HOOK RD, SUITE E, ROCK HILL, SC 29732-2783
(803) 324-7640
(803) 324-4217

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1571
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z15715
SC
Enumeration date
12/19/2006
Last updated
07/09/2007
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