Provider Demographics
NPI:1891904884
Name:PULLINGER, ANDREW GODFREY (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GODFREY
Last Name:PULLINGER
Suffix:
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:UCLA CHS 43-045 BOX 951668
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1668
Mailing Address - Country:US
Mailing Address - Phone:818-345-8714
Mailing Address - Fax:
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:UCLA CHS A0-125, BOX 9521668
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1668
Practice Address - Country:US
Practice Address - Phone:310-825-8082
Practice Address - Fax:310-794-9723
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAS861223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics