# LORI K ANDERSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447464581
- **Authorized official:** LORI ANDERSON (OWNER)
- **Authorized official phone:** (602) 864-9604

## Contact information

- **Practice address:** 7201 N 19TH AVE STE 2, PHOENIX, AZ 85021-7975
- **Practice address phone:** (602) 864-9604
- **Mailing address:** 7201 N 19TH AVE STE 2, PHOENIX, AZ 85021-7975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4989 | AZ | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020