Organization
PAUL V ANDERSON DDS LLC
Active
Other names
Anderson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL VERNON ANDERSON D.D.S (OWNER)
(541) 471-1990
Entity
Organization
Contact information
Practice address
2900 NW VINE ST, SUITE L, GRANTS PASS, OR 97526-8411
(541) 471-1990
(541) 471-0325
Mailing address
2900 NW VINE ST, SUITE L, GRANTS PASS, OR 97526-8411
(541) 471-1990
(541) 471-0325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9579
OR
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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