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1053761189
BRAD ANDERSEN
MOUNTAIN CITY, TN
NPI
1053761189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D01443)
Enumeration Date
2016-06-20
Last Update Date
2022-07-05
Business Address
BRAD ANDERSEN D.M.D.
144 CALVARY LN
MOUNTAIN CITY, TN 37683-4306
Phone number: 423-727-0655
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Mailing Address
BRAD ANDERSEN D.M.D.
144 CALVARY LN
MOUNTAIN CITY, TN 37683-4306
Phone number: 423-727-0655
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