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Individual

JOAN ISABELL ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1971 EVELYN BYRD AVE STE F, HARRISONBURG, VA 22801
(540) 705-0102
(540) 705-0102
Mailing address
1971 EVELYN BYRD AVE STE F, HARRISONBURG, VA 22801-3477
(540) 705-0102
(540) 705-0102

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413162
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401413162
STATE DENTAL LICENSE
VA
Enumeration date
07/29/2008
Last updated
08/07/2019
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