Individual
JOHN A. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
170 N CENTER ST, AMERICAN FORK, UT 84003-1647
(801) 756-2341
Mailing address
11534 N 6180 W, HIGHLAND, UT 84003-3751
(801) 492-0592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
911453419922
UT
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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