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Individual

DR. BYRON NICOLAS AMADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2310 CRAVEN ST BLDG 3230, SAN DIEGO, CA 92136-5596
(619) 556-8240
Mailing address
5277 NW SOUTH DELWOOD DR, PORT SAINT LUCIE, FL 34986-2762

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24188
FL

Other

Enumeration date
08/28/2019
Last updated
08/28/2019
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