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1700903572
DOUGLAS LEE ANDERSEN
THOUSAND OAKS, CA
NPI
1700903572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 24529)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business 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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Mailing Address
Dr. DOUGLAS LEE ANDERSEN D.D.S.
386 LOMBARD ST
THOUSAND OAKS, CA 91360-5808
Phone number: 805-496-1091
Copy
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