Individual
MATTHEW PAUL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6301 S MINNESOTA AVE STE 100, SIOUX FALLS, SD 57108-2529
(605) 332-4751
Mailing address
6301 S MINNESOTA AVE STE 100, SIOUX FALLS, SD 57108-2529
(605) 332-4751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1265
SD
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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