Individual
DR. DEVIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
1223D0004X
Dental Anesthesiology
Primary
46353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520882
DENTI-CAL
CA
Enumeration date
07/11/2014
Last updated
07/11/2014
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