Individual
DR. CHRISTOPHER MATTHEW AMENEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4167
(718) 515-5419
Mailing address
10 MEADOW PARK RD, BALDWIN PLACE, NY 10505-1000
(914) 628-0260
(718) 515-5419
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
05022-1
NY
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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