Most Relevant Information
Provider Data
| NPI Number: | 1003834607 |
| Provider Name: | JOHN ANDRE |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 0401006801 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
208 B ELM AVENUE
LOUISA
VA
230930158
Practice Location Phone/Fax
| Phone: | 5409670777 |
| Fax: |
Provider Mailing Location
PO BOX 158
208 B ELM AVE
LOUISA
VA
230930158
Provider Mailing Phone/Fax
| Phone: | 5409670777 |
| Fax: |