Individual
DR. DENNIS RAYMOND ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10701 W LINCOLN AVE, WEST ALLIS, WI 53227-1242
(414) 545-9090
(414) 545-3440
Mailing address
10701 W LINCOLN AVE, WEST ALLIS, WI 53227-1242
(414) 545-9090
(414) 545-3440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001336
WI
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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