Individual
DR. AMANDA LEE MAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5511 E 82ND ST STE F, INDIANAPOLIS, IN 46250-4515
(317) 842-1903
Mailing address
5511 E 82ND ST STE F, INDIANAPOLIS, IN 46250-4515
(317) 842-1903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012630A
IN
Other
Enumeration date
07/07/2016
Last updated
12/02/2020
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