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Individual

CHRISTOPHER C.M. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DENTURIST

Contact information

Practice address
19410 8TH AVE NE, SUITE 102, POULSBO, WA 98370-7379
(360) 779-1566
(360) 779-6879
Mailing address
19410 8TH AVE NE, SUITE 102, POULSBO, WA 98370-7379
(360) 779-1566
(360) 779-6879

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN452
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5051628
WA
Enumeration date
04/10/2007
Last updated
07/09/2007
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