Individual
HAROLD BENJAMIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11900 GRANT ST STE 300, NORTHGLENN, CO 80233-1117
(720) 640-7382
(720) 640-7383
Mailing address
11900 GRANT ST STE 300, NORTHGLENN, CO 80233-1117
(720) 640-7382
(720) 640-7383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020221
MI
122300000X
Dentist
LDR180208
IN
1223P0700X
Prosthodontics
Primary
00205050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06406751
—
NM
Enumeration date
07/02/2010
Last updated
10/25/2023
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