# AMANDA M. TINKLE DMD PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962774869
- **Authorized official:** AMANDA MARGAUX TINKLE DMD (GENERAL DENTIST, OWNER)
- **Authorized official phone:** (503) 348-7396

## Contact information

- **Practice address:** 117 E 39TH ST, VANCOUVER, WA 98663-2229
- **Practice address phone:** (360) 694-7931
- **Practice address fax:** (360) 694-0722
- **Mailing address:** 117 E 39TH ST, VANCOUVER, WA 98663-2229
- **Mailing address phone:** (360) 694-7931
- **Mailing address fax:** (360) 694-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60266590 | WA | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012