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Organization

ERIC ANDERSEN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC PETER ANDERSEN DDS (PRESIDENT)
(847) 340-5565
Entity
Organization

Contact information

Practice address
400 N ALLEN DR, SUITE 101, ALLEN, TX 75013-2555
(972) 727-4415
Mailing address
400 N ALLEN DR, SUITE 101, ALLEN, TX 75013-2555
(972) 727-4415

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30758
TX

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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