Individual
DR. RALPH H.B. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR.
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9183338
DORAL-VA MC DENTAL
VA
05
—
9183338
—
VA
Enumeration date
10/27/2006
Last updated
12/09/2016
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