Organization
ANDERSON & BRAULT, PLLC
Active
Other names
Twin City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LE ANN BAXTER WINIGER (OFFICE MANAGER)
(360) 577-1153
Entity
Organization
Contact information
Practice address
409 W MAIN ST, KELSO, WA 98626-1117
(360) 577-1153
(360) 425-1540
Mailing address
409 W MAIN ST, KELSO, WA 98626-1117
(360) 577-1153
(360) 425-1540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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