Individual
MYKEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MPH, MBA
Contact information
Practice address
256 E LAKE MEAD PKWY, HENDERSON, NV 89015-6440
(702) 703-5410
Mailing address
1350 KELSO DUNES AVE APT 315, HENDERSON, NV 89014-7826
(951) 313-2129
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6978
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DDS104743
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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