Organization
DEVIN ANDERSON D,D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN LEE ANDERSON D,D.S. (DENTIST ANESTHESIOLOGIST)
(909) 496-1718
Entity
Organization
Contact information
Practice address
11261 WAREHAM CT, LOMA LINDA, CA 92354-4875
(909) 496-1718
(909) 478-0778
Mailing address
11261 WAREHAM CT, LOMA LINDA, CA 92354-4875
(909) 496-1718
(909) 478-0778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46353
CA
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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