Individual
MS. SANDY D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005892
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901178
—
WA
Enumeration date
08/08/2007
Last updated
08/08/2007
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