Organization
JOHN F ANDERSON JR DDS MD A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDERSON DDS, MD (OWNER)
(310) 717-6456
Entity
Organization
Contact information
Practice address
1301 20TH ST STE 400, SANTA MONICA, CA 90404-2090
(310) 717-6456
Mailing address
1301 20TH ST STE 400, SANTA MONICA, CA 90404-2090
(310) 717-6456
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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