Individual
ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3873 HWY 64 W, TYLER, TX 75704-6925
(903) 593-4867
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30108
TX
1223G0001X
General Practice Dentistry
30108
TX
Other
Enumeration date
06/13/2014
Last updated
06/09/2022
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