Individual
AMANDA TRIAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2971 TWO PATHS DR, WOODRIDGE, IL 60517-4512
(651) 202-5134
Mailing address
2971 TWO PATHS DR, WOODRIDGE, IL 60517-4512
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.017869
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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