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DR. PAUL CHARLES ANDERSON D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1467554733

Individual Registrant:
DR. PAUL CHARLES ANDERSON D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2270 NISTLER RD  DELTA JUNCTION, AK 99737 US
Tel: 907-895-4274  Fax: 907-895-4276

Contact information for business:
PO BOX 985  DELTA JUNCTION, AK 99737-0985 US
Tel: 907-895-4274  Fax: --

Registration Information:
NPI: 1467554733
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AK1162

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UNITED CONCORDIA1527523AK01
DD08701AK05




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