NPI | 1689782054 |
---|---|
Doing Business As | ANDREW J SEVERSON DDS APC |
Entity Type | Organization |
Authorized Contact | ANDREW JOSEPH SEVERSON President 858-485-1123 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21946) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2020-08-22 |