Individual
AMY PHORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
401 E SCHOOL AVE, VISALIA, CA 93291-5032
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100617
CA
Other
Enumeration date
02/10/2016
Last updated
08/08/2016
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