Individual
AMANDA STEPHANIE ANKROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
820 DELNERO DR STE A, SONORA, CA 95370-6208
(209) 559-3113
Mailing address
820 DELNERO DR STE A, SONORA, CA 95370-6208
(209) 559-3113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106620
CA
Other
Enumeration date
04/21/2020
Last updated
02/17/2022
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