DOUGLAS LEE ANDERSEN

THOUSAND OAKS, CA
NPI1700903572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  24529)
Enumeration Date2007-03-24
Last Update Date2007-07-08
Business Address
DR. DOUGLAS LEE ANDERSEN D.D.S.
386 LOMBARD ST
THOUSAND OAKS, CA 91360-5808
Phone number: 805-496-1091
Mailing Address
DR. DOUGLAS LEE ANDERSEN D.D.S.
386 LOMBARD ST
THOUSAND OAKS, CA 91360-5808
Phone number: 805-496-1091
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