Individual
DONNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 DEARNLEY ST, PHILADELPHIA, PA 19128-4111
(267) 463-6571
Mailing address
431 DEARNLEY ST, PHILADELPHIA, PA 19128-4111
(267) 463-6571
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DHA002566
PA
124Q00000X
Dental Hygienist
PHDH000844
PA
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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