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Individual
AMANDA BROWN KOTIS
Active
Individual
AMANDA BROWN KOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
055108
NY
1223G0001X
General Practice Dentistry
150746
NC
1223G0001X
General Practice Dentistry
Primary
9194
NC
Other
Enumeration date
07/28/2009
Last updated
01/30/2012
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