Individual
DR. RALPH LEMUS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5500 MONUMENT AVE, SUITE R, RICHMOND, VA 23226-1452
(804) 285-9800
(804) 258-5711
Mailing address
5500 MONUMENT AVE, SUITE R, RICHMOND, VA 23226-1452
(804) 285-9800
(804) 258-5711
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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