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Organization
LORI K ANDERSON DDS PLLC
Active
Organization
LORI K ANDERSON DDS PLLC
Active
Other names
ANDERSON DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
LORI K ANDERSON DDS (DOCTOR)
(623) 455-9179
Entity
Organization
Contact information
Practice address
2525 W CAREFREE HWY STE 108, PHOENIX, AZ 85085-6095
(623) 455-9179
Mailing address
2525 W CAREFREE HWY STE 108, PHOENIX, AZ 85085-6095
(623) 455-9179
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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