Individual
DR. JEFFREY LEE ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-7535
Mailing address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-7535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1456639922
UT
1223G0001X
General Practice Dentistry
Primary
1456639922
UT
Other
Enumeration date
02/28/2006
Last updated
07/20/2023
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