Individual
DAVID ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4207 W ELECTRA LN, GLENDALE, AZ 85310-5571
(480) 202-0644
Mailing address
4207 W ELECTRA LN, GLENDALE, AZ 85310-5571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008948
AZ
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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