Organization
ALLIED ENDODONTIC SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD C ANDERSON (PRESIDENT)
(763) 657-1502
Entity
Organization
Contact information
Practice address
14040 81ST AVE N, MAPLE GROVE, MN 55311-2250
(763) 657-1502
Mailing address
14040 81ST AVE N, MAPLE GROVE, MN 55311-2250
(763) 657-1502
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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