DR. John Fred Anderson JR., DDS, MD

NPI #1780123216 in Pacific Palisades, California

Provider Information

NPI Number: 1780123216
Entity Type: Individual
Name: DR. John Fred Anderson JR., DDS, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS, MD
Enumeration Date: Feb 16, 2017
Last Updated: Jul 19, 2023

Practice Location

Address: 17093 PALISADES CIR
City: Pacific Palisades
State: California
ZIP Code: 90272-2139
Phone: (310) 717-6456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

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