NPI | 1194243162 |
---|---|
Doing Business As | DR ANDREW TIBBITTS DDS |
Entity Type | Organization |
Authorized Contact | VALERIE A ROGERS Office Assistant 951-677-5113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 53656) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2022-07-21 |