LISA ANDERSON

JACKSON, WY
NPI1659722940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WY  1630)
Additional Taxonomies122300000X Dentist
(Licence: SD  D1109)
Enumeration Date2016-06-28
Last Update Date2024-06-28
Business Address
Dr. LISA ANDERSON DDS
945 W BROADWAY AVE APT 201
JACKSON, WY 83001-8217
Phone number: 307-734-5200
Mailing Address
Dr. LISA ANDERSON DDS
945 W BROADWAY AVE APT 201
JACKSON, WY 83001-8217
Phone number: 307-734-5200