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Individual

DR. JEFFERY DEAN ANDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
3367 BUCKSKIN RD., OVERGAARD, AZ 85933-0100
(928) 535-5886
(928) 535-5887
Mailing address
PO BOX 100, OVERGAARD, AZ 85933-0100
(928) 535-5886
(928) 535-5887

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6578
AZ

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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