Justin Anderson, DDS

NPI #1518343102 in Grants Pass, Oregon

Provider Information

NPI Number: 1518343102
Entity Type: Individual
Name: Justin Anderson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 5, 2015
Last Updated: Apr 15, 2016

Practice Location

Address: 1701 NW HAWTHORNE AVE
City: Grants Pass
State: Oregon
ZIP Code: 97526-1257
Phone: (541) 479-6489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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