Individual
ERIC ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4700
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10701
MA
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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