Individual
JON D ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2538 UNIVERSITY DR S, STE B, FARGO, ND 58103-5737
(701) 232-1368
(701) 232-4746
Mailing address
2538 UNIVERSITY DR S, STE B, FARGO, ND 58103-5737
(701) 232-1368
(701) 232-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1601
ND
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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