Individual
DR. ROSS ALLEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1225 E 1ST ST, DULUTH, MN 55805-2402
(218) 728-6445
Mailing address
1225 E 1ST ST, DULUTH, MN 55805-2402
(218) 728-6445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12791
MN
282N00000X
General Acute Care Hospital
D12791
MN
Other
Enumeration date
04/18/2010
Last updated
04/27/2012
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