Thibodeaux, Andrew J.

Thibodeaux, Andrew J. is an sole proprietor health care provider with primary practice located at 1058 N Maclay Ave , San Fernando CA 91340-1326. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thibodeaux, Andrew J. can be contacted via phone (818) 365-4525.

Contact Information

Primary practice address
1058 N Maclay Ave San Fernando CA 91340-1326
Fax: (818) 365-4506
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 26005 California

Profile Details

NPI number 1467597435
LBN Legal business name Thibodeaux, Andrew J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 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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