Provider Demographics
NPI:1396976239
Name:ANDERSON ELTER, AARIKA DAWN (DMD)
Entity type:Individual
Prefix:
First Name:AARIKA
Middle Name:DAWN
Last Name:ANDERSON ELTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:AARIKA
Other - Middle Name:DAWN
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1200 12TH AVE S
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2712
Mailing Address - Country:US
Mailing Address - Phone:206-548-3114
Mailing Address - Fax:206-762-6355
Practice Address - Street 1:2215 N 30TH ST STE 301
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-3350
Practice Address - Country:US
Practice Address - Phone:253-238-1402
Practice Address - Fax:253-238-1403
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601016921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry