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1104020015
CHARLES ANDERSON
FRANKLIN, WI
NPI
1104020015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 5707-015)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ANDERSON D.D.S.
7218 S 76TH ST
FRANKLIN, WI 53132-9041
Phone number: 414-425-2900
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Mailing Address
Dr. CHARLES ANDERSON D.D.S.
4217 W TUMBLE CREEK CT
FRANKLIN, WI 53132-9499
Phone number: 414-858-9935
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