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Individual

DR. AMANDA LYNN DELWICHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
2801 YULUPA AVE, SUITE D, SANTA ROSA, CA 95405-9115
(707) 526-6165
(707) 526-6238
Mailing address
2801 YULUPA AVE, SUITE D, SANTA ROSA, CA 95405-9115
(707) 526-6165
(707) 526-6238

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51915
CA

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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