Individual
DR. DANE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2415 NE 134TH ST STE 307, VANCOUVER, WA 98686-3029
(360) 567-3333
Mailing address
9819 SE 18TH CIR, VANCOUVER, WA 98664-3742
(425) 346-0288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901020533
MI
1223G0001X
General Practice Dentistry
Primary
60555443
WA
Other
Enumeration date
01/25/2012
Last updated
07/29/2019
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