Fred E. Anderson, D.M.D. Valid NPI

Individual provider · Dentist · Great Falls, MT

NPI

1477628790

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

1604 (MT)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-21

Last updated

2007-07-08