Individual provider · NPI-1
Dr. Devin Anderson, D.D.S.
Dentist, Dentist Anesthesiologist Speciality · Loma Linda, CA
NPI number1629484522
StatusActive
Last updated in NPPESJul 11, 2014
Details
- NPI
- 1629484522
- Entity type
- Individual (NPI-1)
- Name
- Dr. Devin Anderson
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2014
- Last updated
- Jul 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0004X | Dentist, Dentist Anesthesiologist Speciality | 46353 | CA | Yes |
Practice location
11261 Wareham CtLoma Linda, CA 92354-4875
Phone 909-496-1718 · Fax 909-478-0778
Mailing address
11261 Wareham CtLoma Linda, CA 92354-4875
Phone 909-496-1718 · Fax 909-478-0778
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