Individual
DR. GRACE E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
223 CHIEF JUSTICE CUSHING HWY STE 102, COHASSET, MA 02025-1391
(781) 383-0003
Mailing address
10 CHARLESGATE E APT 102, BOSTON, MA 02215-2368
(614) 218-0015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857530
MA
1223P0221X
Pediatric Dentistry
Primary
1857530
MA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/15/2014
Last updated
07/21/2022
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