# AMANDA GERLACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154928943
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13342080-9921 | UT | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 36221 | TX | — |

## Other

- **Enumeration date:** 10/05/2020
- **Last updated:** 08/23/2023