Individual
DR. AMENDA ST. HILAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
2817 W LOOP 250 N STE B, MIDLAND, TX 79705-3205
(432) 694-4800
Mailing address
25590 PROSPECT AVE APT 11A, LOMA LINDA, CA 92354-3145
(954) 914-3538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36368
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/29/2020
Last updated
08/05/2020
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