Individual
DR. ANDRE METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Mailing address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
(559) 675-5224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42185
LICENSE
CA
01
—
D42185
DELTA DENTAL
CA
Enumeration date
02/05/2007
Last updated
03/07/2023
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