Organization
CHAD J. ANDERSON DENTAL CORPORATION
Active
Parent organization
CHAD J. ANDERSON DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHAD J. ANDERSON DENTAL CORPORATION
Authorized official
CHAD JASON ANDERSON DMD (OWNER)
(559) 434-1096
Entity
Organization
Contact information
Practice address
5084 N FRUIT AVE STE 101, FRESNO, CA 93711-3000
(559) 226-3686
(559) 226-0947
Mailing address
9497 N FORT WASHINGTON RD STE 106, FRESNO, CA 93730-0606
(559) 434-1096
(559) 434-1799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52822
CA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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