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DR. ALAN MICHAEL ANDERSON D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1972697134

Individual Registrant:
DR. ALAN MICHAEL ANDERSON D.M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
52 N TU SU LN  BISHOP, CA 93514-8058 US
Tel: 760-873-3443  Fax: --

Contact information for business:
1105 E 1050 N  HEBER CITY, UT 84032-3474 US
Tel: --  Fax: --

Registration Information:
NPI: 1972697134
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA35066

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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