Individual
DR. GARY DEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3600 E STATE ST, #306, ROCKFORD, IL 61108-1978
(815) 399-7799
(815) 877-6895
Mailing address
3600 E SATE ST., #306, ROCKFORD, IL 61108
(815) 399-7799
(815) 877-6895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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