Individual
NATALIE AMOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
8021B CASTOR AVE, PHILADELPHIA, PA 19152-2733
(215) 728-1610
Mailing address
8021B CASTOR AVE, PHILADELPHIA, PA 19152-2733
(215) 728-1610
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DN22308
FL
1223P0300X
Periodontics
Primary
DS039766
PA
Other
Enumeration date
10/31/2016
Last updated
06/03/2019
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