Individual
ELIANY VICTORES AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(314) 833-2700
Mailing address
1418 CARROLL ST UNIT 410, SAINT LOUIS, MO 63104-3364
(305) 742-3262
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH32423
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/06/2026
Last updated
04/06/2026
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