Individual
DR. JUSTIN ALTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1595 COMMERCIAL ST SE, SALEM, OR 97302-4309
(503) 877-1598
(503) 448-2560
Mailing address
1595 COMMERCIAL ST SE, SALEM, OR 97302-4309
(503) 877-1598
(503) 448-2560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11269
OR
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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