Individual
DR. CAROL LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1025 10TH AVE, CLARKFIELD, MN 56223-1301
(320) 669-7564
(320) 669-7564
Mailing address
1025 10TH AVE, CLARKFIELD, MN 56223-1301
(320) 669-7564
(320) 669-6003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1014
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112512500
—
WY
Enumeration date
10/05/2006
Last updated
03/17/2018
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