Individual
AMAL SAMATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 PIONEER TRL, CHASKA, MN 55318-1167
(952) 361-6855
Mailing address
18330 NE 99TH WAY, REDMOND, WA 98052-6902
(707) 479-4818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61320745
WA
122300000X
Dentist
Primary
D15168
MN
122300000X
Dentist
DE61320745
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2022
Last updated
07/25/2024
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