Organization
JOHN J. ANDRE, D.D.S., P.C. AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JAMES ANDRE D.D.S., P.C. (PRESIDENT)
(804) 346-8330
Entity
Organization
Contact information
Practice address
10863 W BROAD ST, GLEN ALLEN, VA 23060-3312
(804) 346-8330
Mailing address
10863 W BROAD ST, GLEN ALLEN, VA 23060-3312
(804) 346-8330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006801
VA
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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