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1245420280
DR. THANE B. ANDERSON, DDS, LLC
STOUGHTON, WI
NPI
1245420280
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Entity Type
Organization
Authorized Contact
THANE B ANDERSON
Owner
608-873-3213
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: WI 4812W)
Enumeration Date
2007-07-26
Last Update Date
2018-06-21
Business Address
DR. THANE B. ANDERSON, DDS, LLC
1520 VERNON ST
STOUGHTON, WI 53589-2260
Phone number: 608-873-3213
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Mailing Address
DR. THANE B. ANDERSON, DDS, LLC
1520 VERNON ST
STOUGHTON, WI 53589-2260
Phone number: 608-873-3213
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