Organization
ANDERSON DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE ANDERSON DDS (DENTIST/OWNER)
(507) 291-4913
Entity
Organization
Contact information
Practice address
411 MAIN ST W, CANNON FALLS, MN 55009-2074
(507) 263-2411
Mailing address
411 MAIN ST. W, PO BOX 17, CANNON FALLS, MN 55009
(507) 263-2411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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