Individual
DR. DOUGLAS JAMES ANDREASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1701 LAKE SUCCESS DR, WACO, TX 76710-2964
(254) 772-1827
(254) 772-9594
Mailing address
6429 CRYSTAL CT, WACO, TX 76712-6969
(630) 338-2450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34064
TX
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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