Neil Wayne Anderson, DDS Valid NPI

Individual provider · Dentist · Saint Peter, MN

NPI

1669564100

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D10109 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-29

Last updated

2007-07-09