Individual
DR. PAYDEN BLAKE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1170 N MOAPA VALLEY BLVD, OVERTON, NV 89040-9098
(702) 398-7700
Mailing address
PO BOX 222, LOGANDALE, NV 89021-0222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6952
NV
1223G0001X
General Practice Dentistry
Primary
6952
NV
Other
Enumeration date
06/30/2017
Last updated
10/18/2022
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