PAUL DANIEL ANDERSON

WHITE BEAR LAKE, MN
NPI1659449098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MN  9267)
Enumeration Date2006-12-02
Last Update Date2007-07-08
Business Address
Dr. PAUL DANIEL ANDERSON DDS
4778 BANNING AVE
WHITE BEAR LAKE, MN 55110-3264
Phone number: 651-426-8998
Mailing Address
Dr. PAUL DANIEL ANDERSON DDS
399 LOCUST ST
MAHTOMEDI, MN 55115
Phone number: 651-653-5283