Individual
DR. AMANDA SUE SPARACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
16931 W BELL RD STE 100, SURPRISE, AZ 85374-2201
(623) 522-5170
Mailing address
16931 W BELL RD STE 100, SURPRISE, AZ 85374-2201
(623) 522-5170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2012024881
MO
1223G0001X
General Practice Dentistry
Primary
D008800
AZ
Other
Enumeration date
05/07/2013
Last updated
04/04/2023
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