Organization
ANDERSON DENTISTRY BEDFORD, PLLC
Active
Parent organization
ANDERSON DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSON DENTISTRY
Authorized official
MR. RUSSELL DWAYNE ANDERSON MBS, MBA (BUSINESS MANAGER)
(817) 247-4720
Entity
Organization
Contact information
Practice address
2620 HARWOOD RD, BEDFORD, TX 76021-3700
(817) 267-6101
Mailing address
5305 COLLEYVILLE BLVD, SUITE B, COLLEYVILLE, TX 76034
(817) 485-2111
(817) 656-5704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29141
TX
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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