Individual
AMANDA SOTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1011 N UNIVERSITY AVE RM 3376, ANN ARBOR, MI 48109-1078
(734) 763-3326
Mailing address
163 EDENWOOD DR APT 208, ANN ARBOR, MI 48103-6977
(312) 813-9344
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901602290
MI
1223P0700X
Prosthodontics
2951000951
MI
Other
Enumeration date
05/22/2024
Last updated
07/29/2024
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