# MICHELE M ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740301878
- **Gender:** F
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8788 | WA | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5051123 | WA STATE D.S.H.S. | WA |
| 01 | — | 8788 | WA STATE LICENSE | WA |