Individual
DR. AMANDA SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
12062 VALLEY VIEW ST #250, GARDEN GROVE, CA 92845
(714) 425-9736
Mailing address
12062 VALLEY VIEW ST #250, GARDEN GROVE, CA 92845
(714) 425-9736
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
29616
TX
1223P0221X
Pediatric Dentistry
64432
CA
Other
Enumeration date
02/05/2014
Last updated
07/30/2015
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