Individual
DR. BRYAN D ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D. S.
Contact information
Practice address
2807 S STONE ST, SUITE 102, SPOKANE, WA 99223-4904
(509) 624-7151
(509) 624-2145
Mailing address
2807 S STONE ST, SUITE 102, SPOKANE, WA 99223-4904
(509) 624-7151
(509) 624-2145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6191
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5005772
—
WA
Enumeration date
10/21/2005
Last updated
07/08/2007
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