Individual
MRS. AMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
978 MICHIGAN AVE, COOS BAY, OR 97420-3140
(541) 294-7025
Mailing address
978 MICHIGAN AVE, COOS BAY, OR 97420-3140
(541) 294-7025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH69861
OR
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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