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Individual

DR. AMANDA BROOKE ISRAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
10861 CHERRY ST, LOS ALAMITOS, CA 90720-5402
(562) 430-3998
Mailing address
12665 VILLAGE LN APT 2401, PLAYA VISTA, CA 90094-2835
(562) 212-6477

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
105680
CA

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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