ERIC A ANDERSON

SOMERSET, KY
NPI1003502477
Professional NameERIC A ANDERSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-10180589)
Enumeration Date2023-04-17
Last Update Date2023-04-17
Business Address
ERIC A ANDERSON
156 SOUTHPORT DR
SOMERSET, KY 42501-4149
Phone number: 606-677-1459
Mailing Address
ERIC A ANDERSON
156 SOUTHPORT DR
SOMERSET, KY 42501-4149
Phone number: 606-677-1459