Organization
ANDERSON DENTAL, P.C.
Active
Other names
Victor Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY MICHAEL ANDERSON D.D.S. (PRESIDENT)
(406) 642-3771
Entity
Organization
Contact information
Practice address
2412 MERIDIAN RD., VICTOR, MT 59875
(406) 642-3771
(406) 642-3646
Mailing address
2412 MERIDIAN RD., P.O. BOX 27, VICTOR, MT 59875
(406) 642-3771
(406) 642-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2307
MT
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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