Individual
JODI LYNN AMDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT/RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H7202
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT5
MN
Other
Enumeration date
11/04/2008
Last updated
12/12/2025
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