Individual
DR. ANDREW GEOFFREY WIDDIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4444 TWEEDY BLVD, SOUTH GATE, CA 90280-6304
(323) 564-2444
Mailing address
7521 EDINGER AVE UNIT 4601, HUNTINGTON BEACH, CA 92647-0614
(401) 595-1298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108329
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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