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Individual

DR. TODD MATHEW ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1675 BETHANY RD, SUITE A, SYCAMORE, IL 60178
(815) 895-3000
(815) 895-0505
Mailing address
1675 BETHANY RD, SUITE A, SYCAMORE, IL 60178
(815) 895-3000
(815) 895-0505

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021001563
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
19022431
IL

Other

Enumeration date
09/01/2006
Last updated
07/19/2019
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