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Individual

DR. LOREN P ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337-2483
(509) 585-2500
(509) 585-2503
Mailing address
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337-2483
(509) 585-2500
(509) 585-2503

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009925
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5046263
WA
Enumeration date
10/02/2006
Last updated
07/09/2007
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