Organization · Type 2 NPI
Damon A. Anderson Dds, PC
Dental Clinic/Center · Boise, ID
NPI number
1295991669
Active
Practice location
2455 N Milwaukee St
Boise, ID 83704-5736
Fax (208) 376-2756
Mailing address
PO Box 80547666
Sioux Falls, SD 57186-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D-3787 (ID) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1295991669
Damon A. Anderson Dds, PC's National Provider Identifier is 1295991669, issued on Aug 5, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on Aug 5, 2008.