Individual
ALAN ARTHUR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPD,CDT
Contact information
Practice address
1622 S MILDRED ST, SUITE A, TACOMA, WA 98465-1610
(253) 588-2721
(253) 984-9366
Mailing address
1622 S MILDRED ST, SUITE A, TACOMA, WA 98465-1610
(253) 588-2721
(253) 984-9366
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000119
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922329713
—
WA
Enumeration date
06/16/2010
Last updated
12/21/2020
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