Individual
DR. AMANDA AZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13200 W 95TH ST, LENEXA, KS 66215-3731
(913) 888-8333
Mailing address
3709 NE ELLISON DR, LEES SUMMIT, MO 64064-1939
(816) 719-3220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018032604
MO
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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