Organization
PETER G ANDERSON DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G ANDERSON DDS (PRESIDENT)
(248) 646-1330
Entity
Organization
Contact information
Practice address
1083 E MAPLE RD, BIRMINGHAM, MI 48009-6424
(248) 646-1330
(248) 646-2152
Mailing address
1083 E MAPLE RD, BIRMINGHAM, MI 48009-6424
(248) 646-1330
(248) 646-2152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012645
MI
Other
Enumeration date
01/05/2006
Last updated
08/22/2020
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