Individual
ANDREW WATSON HIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4862 SANTA CRUZ AVE, SAN DIEGO, CA 92107-3309
(248) 982-1189
Mailing address
4862 SANTA CRUZ AVE, SAN DIEGO, CA 92107-3309
(248) 982-1189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019687
MI
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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