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1891485710
STEPHEN ANDERSON
COLUMBIA, SC
NPI
1891485710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-12
Last Update Date
2023-08-10
Business Address
STEPHEN ANDERSON DMD
5330 MOSEBY ST
COLUMBIA, SC 29207
Phone number: 480-438-8614
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Mailing Address
STEPHEN ANDERSON DMD
8558 CAVA DR
RANCHO CUCAMONGA, CA 91730-8717
Phone number:
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