| J. Anderson Dds, Inc | |
|
1235 W Vista Way Ste K Vista CA 92083-6234 | |
| (661) 474-0880 | |
| Not Available |
| Full Name | J. Anderson Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1235 W Vista Way Ste K, Vista, California |
| Authorized Official Name and Position | Jeffrey Michael Anderson (PRESIDENT) |
| Authorized Official Contact | 6614740880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Anderson Dds, Inc 4809 Windjammer Way Carlsbad CA 92008-3789 Ph: (661) 474-0880 | J. Anderson Dds, Inc 1235 W Vista Way Ste K Vista CA 92083-6234 Ph: (661) 474-0880 |
| NPI Number | 1740809938 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740809938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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