Organization
BRUCE WM. ANDERSON, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WILLIAM ANDERSON D. D. S. (PRESIDENT)
(507) 372-2166
Entity
Organization
Contact information
Practice address
1029 2ND AVE, WORTHINGTON, MN 56187-2380
(507) 372-2166
Mailing address
1029 2ND AVE, WORTHINGTON, MN 56187-2380
(507) 372-2166
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8245
MN
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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