Individual
DR. AMANDA AINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2305 MENDOCINO AVE STE A, SANTA ROSA, CA 95403-3157
(707) 525-1500
Mailing address
2305 MENDOCINO AVE STE A, SANTA ROSA, CA 95403-3157
(707) 525-1500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN25189
FL
1223G0001X
General Practice Dentistry
Primary
110964
CA
Other
Enumeration date
08/18/2020
Last updated
12/18/2024
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