MICHAEL ANDERSON

BOISE, ID
NPI1609181940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4324)
Enumeration Date2010-08-11
Last Update Date2010-08-11
Business Address
-- MICHAEL ANDERSON DMD
2033 E SUMMERSWEET DR
BOISE, ID 83716-6695
Phone number: 208-331-0182
Mailing Address
-- MICHAEL ANDERSON DMD
2033 E SUMMERSWEET DR
BOISE, ID 83716-6695
Phone number: 208-331-0182
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