Individual
MISS REBECCA JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
170 WEST FIFTH STREET, ELKHORN CITY, KY 41522
(606) 754-7198
(606) 754-7198
Mailing address
PO BOX 1156, 170 WEST FIFTH STREET, ELKHORN CITY, KY 41522
(606) 754-7198
(606) 754-7199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7768
KY
1223G0001X
General Practice Dentistry
Primary
7768
KY
Other
Enumeration date
01/18/2007
Last updated
03/06/2012
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