David Charles Anderson DDS

NPI 1083624621 - Dentist - 1223P0700X

NPI Details
NPI 1083624621
Gender Male
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
430 MAIN ST
GREEN BAY WI, 54301-5115, US
Phone (920) 431-0345
Fax
Business Location
5318 NORTH ROSEMARY LANE
APPLETON WI, 54913, US
Phone (920) 730-9027
Fax
Toxanomy
Taxonomy Code 1223P0700X
License State Wisconsin
License Number 5956
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According to our database, Dr. David Charles Anderson DDS NPI is 1083624621, taxonomy code is 1223P0700X and license number is 5956, license state is located at Wisconsin. David Charles Anderson DDS physically located at 430 Main St, Green Bay WI, 54301-5115. NPI Number David Charles Anderson DDS has the Individual type.

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1083624621 NPI number is provided on an as is basis without warranty of any kind. 1083624621 is maintained by the National Plan & Provider Enumeration System. The contents of David Charles Anderson DDS are for informational purposes only.