Individual
DR. MARY LOU ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2300 LANGLEY AVE, ST JOSEPH, MI 49085
(269) 983-0159
(269) 983-6444
Mailing address
2300 LANGLEY AVE, ST JOSEPH, MI 49085
(269) 983-0159
(269) 983-6444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13121
MI
1223G0001X
General Practice Dentistry
Primary
2901013121
MI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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