Anderson, John Fred
Anderson, John Fred is an sole proprietor health care provider with primary practice located at 17093 Palisades Cir , Pacific Palisades CA 90272-2139. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Anderson, John Fred can be contacted via phone (310) 717-6456.Contact Information
Primary practice address
17093 Palisades Cir
Pacific Palisades CA 90272-2139
Phone: (310) 717-6456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS108647 | California |
Profile Details
| NPI number | 1780123216 |
|---|---|
| LBN Legal business name | Anderson, John Fred |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2017 |
| Last updated | Jul 19th, 2023 - about last year |
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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