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ERIC W ANDERSON DMD

Individual Provider (NPI-1) Active

Dentist, Orthodontics and Dentofacial Orthopedics

Provider Information

NPI Number
1174687925
Provider Type
Individual Provider (NPI-1)
Credentials
DMD
Status
Active

Contact & Location

Address
121 DELAWARE ST, LEAVENWORTH, KS, 660482822
Phone
(913) 651-5040
Fax
(503) 494-8384

Specialties & Taxonomies

Dentist, Orthodontics and Dentofacial Orthopedics License: MO #2019010204
Dentist, Orthodontics and Dentofacial Orthopedics Primary License: KS #61280

All Addresses

LOCATION

121 DELAWARE ST

LEAVENWORTH, KS, 660482822

(913) 651-5040

MAILING

6120 SW 18TH DR APT 38

PORTLAND, OR, 972391992