Individual
AMANDA BEATRIZ RODRIGUEZ BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-7555
Mailing address
1515 W MONROE ST UNIT 240, CHICAGO, IL 60607-1547
(786) 961-7953
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
07/07/2023
Last updated
08/08/2023
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