Individual
DR. AMANDA LEA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-0345
Mailing address
430 MAIN ST, GREEN BAY, WI 54301-5115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7071-15
WI
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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