Individual
BRETT DONALD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
318 W TOUHY AVE, PARK RIDGE, IL 60068-4205
(847) 692-2303
(847) 692-2684
Mailing address
318 W TOUHY AVE, PARK RIDGE, IL 60068-4205
(847) 692-2303
(847) 692-2684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19023301
IL
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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