Individual
DR. AMANDA LEIGH CUSATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
702 W 34TH ST, ERIE, PA 16508-2649
(814) 868-5411
(814) 866-2105
Mailing address
702 W 34TH ST, ERIE, PA 16508-2649
(814) 868-5411
(814) 866-2105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037569
PA
Other
Enumeration date
07/08/2008
Last updated
03/03/2014
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