Individual
DR. AMANDA BUDIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
11816 GARVEY AVE, EL MONTE, CA 91732-3312
(626) 443-8744
Mailing address
11816 GARVEY AVE, EL MONTE, CA 91732-3312
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64220
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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