| Richard Anderson Dds | |
|
90 Doctors Park Drive Santa Rosa CA 95405-9998 | |
| (707) 545-0944 | |
| (707) 545-0947 |
| Full Name | Richard Anderson Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 90 Doctors Park Drive, Santa Rosa, California |
| Authorized Official Name and Position | Richard Paul Anderson (PRESIDENT) |
| Authorized Official Contact | 7075450944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Anderson Dds 90 A Doctors Park Drive Santa Rosa CA 95405-9998 Ph: (707) 545-0944 | Richard Anderson Dds 90 Doctors Park Drive Santa Rosa CA 95405-9998 Ph: (707) 545-0944 |
| NPI Number | 1700029303 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 04/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700029303 | NPI | - | NPPES |
| 1265558605 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58008 (California) | Primary |
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