| Matthew R. Anderson, Dmd, Msd, Inc | |
|
1820 Sonoma Ave # 90 Suite B Santa Rosa CA 95405-6616 | |
| (707) 526-3303 | |
| (707) 526-1385 |
| Full Name | Matthew R. Anderson, Dmd, Msd, Inc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1820 Sonoma Ave # 90, Santa Rosa, California |
| Authorized Official Name and Position | Matthew Ron Anderson (PRESIDENT) |
| Authorized Official Contact | 7075263303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew R. Anderson, Dmd, Msd, Inc 1820 Sonoma Ave # 90 Suite B Santa Rosa CA 95405-6616 Ph: (707) 526-3303 | Matthew R. Anderson, Dmd, Msd, Inc 1820 Sonoma Ave # 90 Suite B Santa Rosa CA 95405-6616 Ph: (707) 526-3303 |
| NPI Number | 1902216732 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 05/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902216732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 61202 (California) | Primary |
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