Individual
ANDRE DERVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 HARTLE CT, NAPA, CA 94559-4078
(707) 254-1775
Mailing address
PO BOX 260593, ENCINO, CA 91426-0593
(818) 919-9132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111828
CA
Other
Enumeration date
07/07/2025
Last updated
07/09/2025
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