| Chad J. Anderson Dental Corporation | |
|
5084 N Fruit Ave Ste 101 Fresno CA 93711-3000 | |
| (559) 226-3686 | |
| (559) 226-0947 |
| Full Name | Chad J. Anderson Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5084 N Fruit Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Chad Jason Anderson (OWNER) |
| Authorized Official Contact | 5594341096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad J. Anderson Dental Corporation 9497 N Fort Washington Rd Ste 106 Fresno CA 93730-0606 Ph: (559) 434-1096 | Chad J. Anderson Dental Corporation 5084 N Fruit Ave Ste 101 Fresno CA 93711-3000 Ph: (559) 226-3686 |
| NPI Number | 1780061879 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780061879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52822 (California) | Primary |
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