| Anderson Dental | |
|
4303 W 24th Ave Ste A Kennewick WA 99338-1963 | |
| (509) 585-2500 | |
| (509) 585-2503 |
| Full Name | Anderson Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4303 W 24th Ave Ste A, Kennewick, Washington |
| Authorized Official Name and Position | Loren P Anderson (DENTIST/OWNER) |
| Authorized Official Contact | 5095852500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Dental 4303 W 24th Ave Ste A Kennewick WA 99338-1963 Ph: (509) 585-2500 | Anderson Dental 4303 W 24th Ave Ste A Kennewick WA 99338-1963 Ph: (509) 585-2500 |
| NPI Number | 1659625507 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659625507 | NPI | - | NPPES |
| 1000256 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE 9925 (Washington) | Primary |
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