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1780716969
MARK WAYNE ANDERSON
FAIRFIELD, CA
NPI
1780716969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA D33437)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- MARK WAYNE ANDERSON DDS
995 OLIVER ROAD SUITE 10
FAIRFIELD, CA 94534-4349
Phone number: 707-425-0646
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Mailing Address
-- MARK WAYNE ANDERSON DDS
995 OLIVER ROAD SUITE 10
FAIRFIELD, CA 94534-4349
Phone number: 707-425-0646
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