Individual
DR. JOHN ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 B ELM AVENUE, LOUISA, VA 23093-0158
(540) 967-0777
Mailing address
PO BOX 158, 208 B ELM AVE, LOUISA, VA 23093-0158
(540) 967-0777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006801
VA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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