Individual
DR. BONNIE J. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
20 FIRST AVENUE S.W., BOWMAN, ND 58623
(701) 523-5651
(701) 523-5652
Mailing address
P.O. BOX E, BOWMAN, ND 58623
(701) 523-5651
(701) 523-5652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1771
ND
1223G0001X
General Practice Dentistry
1771
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041045
—
ND
05
—
41045
—
ND
Enumeration date
05/22/2007
Last updated
07/09/2009
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