Gary Nelson Anderberg DMD

NPI 1043320997 - Dentist - 1223G0001X

NPI Details
NPI 1043320997
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16105 FREDERICK RD
LISBON MD, 21765, US
Phone (410) 489-4900
Fax (410) 489-4900
Business Location
26140 VIEWLAND DR
DAMASCUS MD, 20872-1231, US
Phone (301) 253-4606
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 6247
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According to our database, Dr. Gary Nelson Anderberg DMD NPI is 1043320997, taxonomy code is 1223G0001X and license number is 6247, license state is located at Maryland. Gary Nelson Anderberg DMD physically located at 16105 Frederick Rd, Lisbon MD, 21765. NPI Number Gary Nelson Anderberg DMD has the Individual type.

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1043320997 NPI number is provided on an as is basis without warranty of any kind. 1043320997 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Nelson Anderberg DMD are for informational purposes only.