Individual
DR. AMANDA PEARL FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1213 COFFEE RD, SUITE C, MODESTO, CA 95355-4229
(209) 571-3006
(209) 571-8256
Mailing address
1213 COFFEE RD, SUITE C, MODESTO, CA 95355-4229
(209) 571-3006
(209) 571-8256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63720
CA
Other
Enumeration date
04/02/2013
Last updated
07/25/2014
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