Individual
DR. RYAN L ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-4431
Mailing address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-4431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11459
MN
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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