John Anderson LD

NPI 1366560302 - Denturist - 122400000X

NPI Details
NPI 1366560302
Gender Male
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4408 PACIFIC AVE SE
LACEY WA, 98503-1119, US
Phone (360) 438-8299
Fax (360) 438-1399
Business Location
4408 PACIFIC AVE SE
LACEY WA, 98503-1119, US
Phone (360) 438-8299
Fax (360) 438-1399
Toxanomy
Taxonomy Code 122400000X
License State Washington
License Number 260
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According to our database, Mr. John Anderson LD NPI is 1366560302, taxonomy code is 122400000X and license number is 260, license state is located at Washington. John Anderson LD physically located at 4408 Pacific Ave Se, Lacey WA, 98503-1119. NPI Number John Anderson LD has the Individual type.

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1366560302 NPI number is provided on an as is basis without warranty of any kind. 1366560302 is maintained by the National Plan & Provider Enumeration System. The contents of John Anderson LD are for informational purposes only.