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SHAWN R ANDERSON DDS

Endodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1770504235

Individual Registrant:
 SHAWN R ANDERSON DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
25109 JEFFERSON AVE #220 MURRIETA, CA 92562-8116 US
Tel: 951-514-7377  Fax: --

Contact information for business:
46254 DURANGO DR  TEMECULA, CA 92592-4232 US
Tel: 951-514-7377  Fax: --

Registration Information:
NPI: 1770504235
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223E0200XDental Providers
Dentist
Endodontics
AZD008275
N1223E0200XDental Providers
Dentist
CA57725

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100509660NV05




HEALTH CARE JOBS CA - Page 1



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