Individual
LISANDRA AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10621 N KENDALL DR, MIAMI, FL 33176-8708
(305) 595-1131
Mailing address
6958 W 5TH LN, HIALEAH, FL 33014-4934
(786) 376-4879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23409
FL
Other
Enumeration date
07/29/2018
Last updated
02/05/2020
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