Organization
ALAN A. ANDERSON DENTURE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN A ANDERSON (DENTURIST)
(253) 588-2721
Entity
Organization
Contact information
Practice address
1622 S MILDRED ST STE A, TACOMA, WA 98465-1610
(253) 588-2721
Mailing address
1622 S MILDRED ST STE A, TACOMA, WA 98465-1610
(253) 588-2721
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-131308385
—
WA
Enumeration date
06/08/2022
Last updated
06/08/2022
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