Individual
DR. AMANDA BAKER GRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10715 TIERRASANTA BLVD, SAN DIEGO, CA 92124
(513) 777-7883
Mailing address
10715 TIERRASANTA BLVD, SAN DIEGO, CA 92124
(858) 278-6444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30023394
OH
122300000X
Dentist
Primary
61277
CA
122300000X
Dentist
8998
KY
Other
Enumeration date
04/15/2010
Last updated
06/11/2019
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