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Individual

DR. RALPH LEMUS ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401003919
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007617
DORAL DENTAL DENTAQUEST
VA
01
003870
ANTHEM HEALTHKEEPERS PLUS
VA
01
799259
UNITED CONCORDIA
VA
05
VA007913702
VA
Enumeration date
05/27/2010
Last updated
05/27/2010
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