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1124034194
CHARLES T ANDERSON
PIERRE, SD
NPI
1124034194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SD M540)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- CHARLES T ANDERSON DS
1521 N HARRISON AVE
PIERRE, SD 57501-2372
Phone number: 605-224-6111
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Mailing Address
-- CHARLES T ANDERSON DS
1521 N HARRISON AVE
PIERRE, SD 57501-2372
Phone number: 605-224-6111
Copy
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