Individual
DR. AMANDA RENEE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
629 9TH ST, IMPERIAL BEACH, CA 91932-1508
(619) 424-5115
Mailing address
629 9TH ST, IMPERIAL BEACH, CA 91932-1508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51373
CA
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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