Individual
DR. LACEY C ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3694 HILBORN RD STE 100, FAIRFIELD, CA 94534-7994
(707) 422-5444
Mailing address
172 SILVER EAGLE WAY, VACAVILLE, CA 95688-1012
(707) 365-0542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
101804
CA
1223P0221X
Pediatric Dentistry
Primary
101804
CA
1223P0221X
Pediatric Dentistry
DN1858080
MA
Other
Enumeration date
08/25/2017
Last updated
05/24/2022
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