| Bruce Wm. Anderson, D.d.s., Pa | |
|
1029 2nd Ave Worthington MN 56187-2380 | |
| (507) 372-2166 | |
| Not Available |
| Full Name | Bruce Wm. Anderson, D.d.s., Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1029 2nd Ave, Worthington, Minnesota |
| Authorized Official Name and Position | Bruce William Anderson (PRESIDENT) |
| Authorized Official Contact | 5073722166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Wm. Anderson, D.d.s., Pa 1029 2nd Ave Worthington MN 56187-2380 Ph: (507) 372-2166 | Bruce Wm. Anderson, D.d.s., Pa 1029 2nd Ave Worthington MN 56187-2380 Ph: (507) 372-2166 |
| NPI Number | 1487877650 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487877650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8245 (Minnesota) | Primary |
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