Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 53063 | CA |
NPI | 1104000835 |
---|---|
Provider Name | Dr. Andrew W Ferrier |
First Address | Lafayette, CA 94549-4543 |
Second Address | Lafayette, CA 94549-4543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2007 |
Last Update Date | 28/08/2013 |