Dr. LISA ANDERSON DDS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1659722940- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 945 W BROADWAY AVE APT 201, JACKSON, WY, 830018217
- Phone
- (307) 734-5200
Specialties & Taxonomies
Dentist
Primary License: WY #1630
Dentist
License: SD #D1109