Individual
KENNETH LEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
111 MULDOON RD APT 5, ANCHORAGE, AK 99504-1435
(402) 740-8740
(641) 795-2883
Mailing address
111 MULDOON RD APT 5, ANCHORAGE, AK 99504-1435
(402) 740-8740
(641) 795-2883
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-905320
CO
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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