Individual
DR. PAUL ANDERSON LINES
Active
Individual
DR. PAUL ANDERSON LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11703
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1556
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
950
NM
Other
Enumeration date
07/10/2006
Last updated
09/11/2025
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