Individual
DR. ANDREW LEE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 HARBOR BLVD STE B100, COSTA MESA, CA 92627
(949) 444-5307
Mailing address
2000 HARBOR BLVD STE B100, COSTA MESA, CA 92627-2601
(949) 444-5307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412140
VA
122300000X
Dentist
Primary
102739
CA
122300000X
Dentist
DE60538445
WA
Other
Enumeration date
09/03/2008
Last updated
07/10/2018
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