ANDREW J. THIBODEAUX

SAN FERNANDO, CA
NPI1467597435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  26005)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Dr. ANDREW J. THIBODEAUX DDS
1058 N MACLAY AVE
SAN FERNANDO, CA 91340-1326
Phone number: 818-365-4525
Mailing Address
Dr. ANDREW J. THIBODEAUX DDS
1058 N MACLAY AVE
SAN FERNANDO, CA 91340-1326
Phone number: 818-365-4525