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Individual

DR. JORDAN D ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
209 MCLEAN AVE, COLERAINE, MN 55722
(218) 245-1278
(218) 245-2545
Mailing address
PO BOX 756, COLERAINE, MN 55744
(218) 245-1278
(218) 245-2545

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12543
MN

Other

Enumeration date
06/03/2008
Last updated
05/05/2015
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