Individual
ERIC A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 SOUTHPORT DR, SOMERSET, KY 42501-4149
(606) 677-1459
Mailing address
156 SOUTHPORT DR, SOMERSET, KY 42501-4149
(606) 677-1459
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10180589
OR
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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