Individual
IRVING ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
341 C ST, BLAINE, WA 98230-4209
(608) 712-6850
Mailing address
341 C ST, BLAINE, WA 98230-4209
(608) 712-6850
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4989
WI
Other
Enumeration date
10/04/2006
Last updated
03/06/2013
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