Craig Andresen

NPI 1508178633 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1508178633
Gender Male
Enumeration Date 07/06/2010
Last Updated 07/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
11301 WILSHIRE BLVD
500 DENTAL
LOS ANGELES CA, 90073-1003, US
Phone (310) 478-3711
Fax
Business Location
11301 WILSHIRE BLVD
500 DENTAL
LOS ANGELES CA, 90073-1003, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Craig Andresen NPI is 1508178633, taxonomy code is 390200000X Craig Andresen physically located at 11301 Wilshire Blvd, Los Angeles CA, 90073-1003. NPI Number Craig Andresen has the Individual type.

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1508178633 NPI number is provided on an as is basis without warranty of any kind. 1508178633 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Andresen are for informational purposes only.