Organization · Type 2 NPI

Ryan T Anderson DDC PC

Dental Clinic/Center · La Junta, CO

NPI number 1952774465 Active

Practice location

13 E 4th St.
La Junta, CO 81050

Mailing address

13 E 4th St
La Junta, CO 81050-3601

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X00202659 (CO)

Dental Clinic/Center: Definition to come...

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About NPI 1952774465

Ryan T Anderson DDC PC's National Provider Identifier is 1952774465, issued on Nov 5, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Junta, CO. The record was last updated on Feb 15, 2019.