Organization
THOMAS W. ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GERARD BATTAGLIA D.D.S. (OWNER/DENTIST)
(763) 757-1234
Entity
Organization
Contact information
Practice address
11237 FOLEY BLVD. NW, COON RAPIDS, MN 55448
(763) 757-3120
(763) 757-5161
Mailing address
11237 FOLEY BLVD. NW, COON RAPIDS, MN 55448
(763) 757-3120
(763) 757-5161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
7054
MN
Other
Enumeration date
11/23/2006
Last updated
12/09/2013
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