Individual
DR. JEFFREY LORIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4555 ERIN DR STE 100, EAGAN, MN 55122-3334
(651) 452-2496
Mailing address
4555 ERIN DR STE 100, EAGAN, MN 55122-3334
(651) 452-2496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MN D9275
MN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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