Individual
AMANDA R NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 ASYLUM AVE STE 3200, HARTFORD, CT 06105-1702
(860) 714-5782
Mailing address
167 RIVER RD, KILLINGWORTH, CT 06419-2234
(475) 313-8831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13586
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13586
CT
Other
Enumeration date
09/28/2022
Last updated
06/10/2024
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