Individual
ERIK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DUNN DENTAL CLINIC, BLDG 6418, JBSA-LACKLAND, TX 78236
(210) 292-1597
Mailing address
DUNN DENTAL CLINIC, BLDG 6418, JBSA LACKLAND, TX 78236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT2413
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT2413
—
HI
Enumeration date
08/12/2010
Last updated
09/03/2021
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