Provider Demographics
NPI:1396769303
Name:ANDREWS, WILL ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:WILL
Middle Name:ALAN
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2025 CHATSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-2715
Mailing Address - Country:US
Mailing Address - Phone:619-224-8286
Mailing Address - Fax:619-224-6979
Practice Address - Street 1:2025 CHATSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-2715
Practice Address - Country:US
Practice Address - Phone:619-224-8286
Practice Address - Fax:619-224-6979
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA382471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics