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Organization
LORI K ANDERSON, DDS, PC
Active
Organization
LORI K ANDERSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANDERSON (OWNER)
(602) 864-9604
Entity
Organization
Contact information
Practice address
7201 N 19TH AVE STE 2, PHOENIX, AZ 85021-7975
(602) 864-9604
Mailing address
7201 N 19TH AVE STE 2, PHOENIX, AZ 85021-7975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4989
AZ
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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