Individual
DR. ANDREW GEORGE MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18837 BROOKHURST ST, SUITE # 109, FOUNTAIN VALLEY, CA 92708-7301
(714) 964-4183
(714) 964-7023
Mailing address
18837 BROOKHURST ST, SUITE # 109, FOUNTAIN VALLEY, CA 92708-7301
(714) 964-4183
(714) 964-7023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28769
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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