| NPI | 1477029502 |
|---|---|
| Doing Business As | DR ANDREW TIBBITTS DDS |
| Entity Type | Organization |
| Authorized Contact | VALERIE A ROGERS Office Manager 951-677-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |