Organization
STEVEN P ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN P ANDERSON D.D.S. (OWNER)
(563) 359-5599
Entity
Organization
Contact information
Practice address
2208 E 52ND ST, DAVENPORT, IA 52807-2726
(563) 359-5599
Mailing address
2208 E 52ND ST, DAVENPORT, IA 52807-2726
(563) 359-5599
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6529
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500108
—
IA
Enumeration date
05/19/2008
Last updated
06/12/2012
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