Individual
DR. SUZANNE MARIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1375 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4006
(651) 645-4671
Mailing address
1555 SELBY AVE APT 416, SAINT PAUL, MN 55104-6598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14288
MN
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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