STEVEN P ANDERSON

DAVENPORT, IA
NPI1518124460
Entity TypeOrganization
Authorized ContactSTEVEN P ANDERSON
Owner
563-359-5599
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IA  6529)
Enumeration Date2008-05-19
Last Update Date2012-06-12
Business Address
STEVEN P ANDERSON
2208 E 52ND ST
DAVENPORT, IA 52807-2726
Phone number: 563-359-5599
Mailing Address
STEVEN P ANDERSON
2208 E 52ND ST
DAVENPORT, IA 52807-2726
Phone number: 563-359-5599