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Individual

DR. DAMON ASHLEY ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
25500 RANCHO NIGUEL RD STE 260, LAGUNA NIGUEL, CA 92677-7306
(949) 643-3129
(949) 643-5259
Mailing address
25500 RANCHO NIGUEL RD STE 260, LAGUNA NIGUEL, CA 92677-7306
(949) 643-3129
(949) 643-5259

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104929
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03397748
NY
Enumeration date
08/30/2006
Last updated
08/09/2022
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