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Mr. John Anderson, LD
Denturist in Lacey, Washington
NPI 1366560302

John Anderson is a Denturist based in Lacey, WA. John Anderson practices in Lacey, WA and has the professional credentials of LD. The NPI Number for John Anderson is 1366560302 and holds a License No. 260 (Washington).

The current practice location address for John Anderson is 4408 Pacific Ave Se, Lacey, WA and can be reached out via phone at 360-438-8299 and via fax at 360-438-1399.

Location: 4408 Pacific Ave Se, Lacey, WA, 98503-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366560302
Provider Name
John Anderson
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
4408 Pacific Ave Se, Lacey, WA, 98503-1119
Phone Number
360-438-8299
Fax Number
360-438-1399
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4408 Pacific Ave Se
City
Lacey
State
Washington
Zip
98503-1119
Phone Number
360-438-8299
Fax Number
360-438-1399
person
Provider Business Mailing Address Details
Address
4408 Pacific Ave Se
City
Lacey
State
Washington
Zip
98503-1119
Phone Number
360-438-8299
Fax Number
360-438-1399
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
260 (Washington)
Definition
Definition to come.
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