Individual
LANCE E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9415 E HARRY ST, 101, WICHITA, KS 67207-5089
(316) 687-2104
Mailing address
9415 E HARRY ST, 101, WICHITA, KS 67207-5072
(316) 687-2104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7143
KS
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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