Gary C Anderson, DDS Valid NPI
Individual provider · General Practice Dentistry · St Paul, MN
- NPI
- 1851482152
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 8992 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-28
- Last updated
- 2011-12-15
Practice location
2500 Como Avenue - Ms 31100a, Health Partners Como Clinic
St Paul, MN 55108-1460
(651) 641-6200