THANE B ANDERSON

STOUGHTON, WI
NPI1104837921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  4812W)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Dr. THANE B ANDERSON D.D.S.
1520 VERNON ST
STOUGHTON, WI 53589-2260
Phone number: 608-873-3213
Mailing Address
Dr. THANE B ANDERSON D.D.S.
1520 VERNON ST
STOUGHTON, WI 53589-2260
Phone number: 608-873-3213
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