Andersen, Douglas Lee

Andersen, Douglas Lee is an sole proprietor health care provider with primary practice located at 386 Lombard St , Thousand Oaks CA 91360-5808. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Andersen, Douglas Lee can be contacted via phone (805) 496-1091.

Contact Information

Primary practice address
386 Lombard St Thousand Oaks CA 91360-5808
Phone: (805) 496-1091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 24529 California

Profile Details

NPI number 1700903572
LBN Legal business name Andersen, Douglas Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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