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1467597435
ANDREW J. THIBODEAUX
SAN FERNANDO, CA
NPI
1467597435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 26005)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Dr. ANDREW J. THIBODEAUX DDS
1058 N MACLAY AVE
SAN FERNANDO, CA 91340-1326
Phone number: 818-365-4525
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Mailing Address
Dr. ANDREW J. THIBODEAUX DDS
1058 N MACLAY AVE
SAN FERNANDO, CA 91340-1326
Phone number: 818-365-4525
Copy
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