Individual
DR. MELVIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2865 AMBASSADOR CAFFERY PKWY STE 117, LAFAYETTE, LA 70506
(337) 988-9399
Mailing address
2865 AMBASSADOR CAFFERY PKWY STE 117, LAFAYETTE, LA 70506-5943
(337) 988-9399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4853
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848531
—
LA
Enumeration date
06/10/2006
Last updated
06/19/2018
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