Individual
AMANDA PEEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2DDENDN/ NDC, PSC 20120, 315 MCCUGH BLVD, CAMP LEJEUNE, NC 28542
(910) 451-2208
Mailing address
2DDENDN/ NDC, PSC 20120, 315 MCCUGH BLVD, CAMP LEJEUNE, NC 28542
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10750
NC
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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