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1083624621
DAVID CHARLES ANDERSON
GREEN BAY, WI
NPI
1083624621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: WI 5956)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. DAVID CHARLES ANDERSON DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-0345
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Mailing Address
Dr. DAVID CHARLES ANDERSON DDS
5318 NORTH ROSEMARY LANE
APPLETON, WI 54913
Phone number: 920-730-9027
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