Individual
DR. TOM G. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2121 HIGHWAY 10 E, MOORHEAD, MN 56560-2559
(218) 236-7076
Mailing address
2121 HIGHWAY 10 E, MOORHEAD, MN 56560-2559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MN9657
MN
Other
Enumeration date
03/07/2006
Last updated
01/05/2012
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