Individual
MICHELLE JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 BROWNSWITCH RD, SLIDELL, LA 70458-1234
(985) 605-7632
Mailing address
161 WESTLAKE PT, MONTGOMERY, TX 77356-9017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6987
LA
Other
Enumeration date
04/11/2019
Last updated
06/07/2019
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