Individual
DR. ANDREW WILLIAM ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3487 AIRPORT WAY, FAIRBANKS, AK 99709-4761
(907) 479-7771
Mailing address
3487 AIRPORT WAY, FAIRBANKS, AK 99709-4761
(907) 479-7771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110556
AK
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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