Individual
AMANDA LAUREN MORGENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2475 BROADWAY BLUFFS DR STE 200, COLUMBIA, MO 65201-8147
(573) 777-9282
Mailing address
1245 SE 3RD ST STE A1, BEND, OR 97702-2162
(541) 318-5688
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11626
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2020
Last updated
08/08/2022
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