Robert E Anderson Dds A Professional Dental Corp | |
4300 Golden Center Dr Suite G Placerville CA 95667-6278 | |
(530) 622-9068 | |
(530) 622-9055 |
Full Name | Robert E Anderson Dds A Professional Dental Corp |
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Speciality | Dentist - General Practice |
Location | 4300 Golden Center Dr, Placerville, California |
Authorized Official Name and Position | Robert E Anderson (PRESIDENT) |
Authorized Official Contact | 5306229068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert E Anderson Dds A Professional Dental Corp 4300 Golden Center Dr Suite G Placerville CA 95667-6278 Ph: (530) 622-9068 | Robert E Anderson Dds A Professional Dental Corp 4300 Golden Center Dr Suite G Placerville CA 95667-6278 Ph: (530) 622-9068 |
NPI Number | 1962793968 |
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Provider Enumeration Date | 04/25/2011 |
Last Update Date | 04/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962793968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 97193 (California) | Primary |
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