Organization
DR RICHARD J ANDERSON DDS PA
Active
Other names
Anderson Dentalcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J. ANDERSON DDS (PRESIDENT)
(952) 926-0284
Entity
Organization
Contact information
Practice address
3925 W 50TH ST STE 104, EDINA, MN 55424-1262
(952) 926-0284
(952) 926-8723
Mailing address
3925 W 50TH ST STE 104, EDINA, MN 55424-1262
(952) 926-0284
(952) 926-8723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8788
LICENSE
MN
Enumeration date
11/10/2021
Last updated
11/10/2021
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