Individual
DR. THOMAS WARREN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11237 FOLEY BLVD NW, COON RAPIDS, MN 55448-3389
(763) 757-1234
Mailing address
11237 FOLEY BLVD NW, COON RAPIDS, MN 55448-3389
(763) 757-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7054
MN
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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