Organization
RE ANDERSON DENTAL LAB
Active
Organization
RE ANDERSON DENTAL LAB
Active
Other names
Benefit Dental Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MICHAEL ANDERSON (PRESIDENT)
(509) 327-9591
Entity
Organization
Contact information
Practice address
1915 N DIVISION ST, SPOKANE, WA 99207-2253
(509) 327-9591
Mailing address
1915 N DIVISION ST, SPOKANE, WA 99207-2253
(509) 327-9591
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
600002741000
WA
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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