Individual
LISA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6401 E. THOMAS RD., SUITE 103, SCOTTSDALE, AZ 85251
(480) 717-0809
(602) 954-9376
Mailing address
2303 N 44TH ST., #14-1008, PHOENIX, AZ 85008
(480) 717-0809
(602) 954-9376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7611
AZ
Other
Enumeration date
11/10/2008
Last updated
01/06/2020
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