Individual
BRIAN G ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 NORTH ACADEMY BLVD, COLORADO SPRINGS, CO 80909
(719) 591-7599
(719) 622-9809
Mailing address
509 NORTH ACADEMY BLVD, COLORADO SPRINGS, CO 80909
(719) 591-7599
(719) 622-9809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9452
CO
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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