Individual
DR. JORDAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5807 NW 166TH ST, RIDGEFIELD, WA 98642-8553
(360) 601-3300
Mailing address
5807 NW 166TH ST, RIDGEFIELD, WA 98642-8553
(360) 601-3300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9926
OR
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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