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Individual

PAUL B ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Contact information

Practice address
720 TURTLE CREST DR, IRVINE, CA 92603-1014
(310) 709-6579
Mailing address
720 TURTLE CREST DR, IRVINE, CA 92603-1014
(310) 709-6579

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
44139
CA

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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