Individual
MRS. AMANDA KATHERINE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2730 WILSHIRE BLVD STE 201, SANTA MONICA, CA 90403-4744
(310) 828-1513
Mailing address
2730 WILSHIRE BLVD STE 201, SANTA MONICA, CA 90403-4744
(310) 828-1513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS108746
CA
Other
Enumeration date
03/13/2022
Last updated
03/13/2024
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