Individual
DR. RICHARD SCOTT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
20600 LAKE CHABOT RD STE 205, CASTRO VALLEY, CA 94546-5432
(510) 538-2566
(510) 538-2770
Mailing address
20600 LAKE CHABOT RD STE 205, CASTRO VALLEY, CA 94546-5432
(510) 538-2566
(510) 538-2770
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
234665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526384
UNITED CONCORDIA PROV#
CA
Enumeration date
03/08/2007
Last updated
07/08/2007
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