Individual
MR. MICHAEL JOSEPH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
610 NORTH RANGE AVENUE, DENHAM SPRINGS, LA 70726-2900
(225) 665-1212
(225) 664-7404
Mailing address
610 NORTH RANGE AVENUE, DENHAM SPRINGS, LA 70726-2900
(225) 665-1212
(225) 664-7404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5260
LA
Other
Enumeration date
06/16/2005
Last updated
12/14/2012
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