Organization
JARED R. ANDERSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED R. ANDERSON DDS (OWNER/OPERATOR)
(541) 923-7633
Entity
Organization
Contact information
Practice address
774 SW RIMROCK DR, REDMOND, OR 97756-1941
(541) 923-7633
(541) 923-8733
Mailing address
774 SW RIMROCK DR, REDMOND, OR 97756-1941
(541) 923-7633
(541) 923-8733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6510C
OR
Other
Enumeration date
08/11/2005
Last updated
08/30/2016
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