NPI | 1679352009 |
---|---|
Doing Business As | ANDERSON DENTAL |
Entity Type | Organization |
Authorized Contact | LORI K ANDERSON Doctor 623-455-9179 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-09-25 |
Last Update Date | 2023-09-25 |