Individual
DR. JOHN FRED ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
17093 PALISADES CIR, PACIFIC PALISADES, CA 90272-2139
(310) 717-6456
Mailing address
17093 PALISADES CIR, PACIFIC PALISADES, CA 90272-2139
(310) 717-6456
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS108647
CA
Other
Enumeration date
02/16/2017
Last updated
07/19/2023
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