Dutra, Amanda Marie

Dutra, Amanda Marie is an individual health care provider with primary practice located at 1370 Chorro St , San Luis Obispo CA 93401. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Dutra, Amanda Marie can be contacted via phone (805) 543-6535.

Contact Information

Primary practice address
1370 Chorro St San Luis Obispo CA 93401
Phone: (805) 543-6535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 57717 California

Profile Details

NPI number 1821176009
LBN Legal business name Dutra, Amanda Marie
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
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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