Boustany, Amanda Sara

Boustany, Amanda Sara is an individual health care provider with primary practice located at 405 Capitol St Suite 914, Charleston WV 25301-1749. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Boustany, Amanda Sara can be contacted via phone (304) 345-1248.

Contact Information

Primary practice address
405 Capitol St Suite 914 Charleston WV 25301-1749
Phone: (304) 345-1248
Fax: (304) 345-1249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 4180 West Virginia

Profile Details

NPI number 1710327556
LBN Legal business name Boustany, Amanda Sara
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Jan 5th, 2017 - about 7 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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