Individual
ALEXIS LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
NAB DENTAL AND MEDICAL CLINIC 3538 BOUGAINVILLE RD, SAN DIEGO, CA 92155-0001
(559) 805-1334
Mailing address
7655 SAN MIGUEL AVE, LEMON GROVE, CA 91945-2814
(952) 200-2021
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H10364
MN
124Q00000X
Dental Hygienist
Primary
RDH33066
CA
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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