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Dr. Andrew Richard Anderson, D.D.S.

Dentist, General Practice in Edina, MN. Individual provider (NPI-1).

NPI number1922010750
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1922010750
Entity type
Individual (NPI-1)
Name
Dr. Andrew Richard Anderson
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD9325MNYes

Practice location

3939 W 50th St
Suite 210
Edina, MN 55424-1244

Phone 952-922-5561 · Fax 952-922-8214

Mailing address

3939 W 50th St
Suite 210
Edina, MN 55424-1244

Phone 952-922-5561 · Fax 952-922-8214

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