Individual
AMY LASHAY PATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16159 MYRIAD LN, FORT MYERS, FL 33908-3483
(239) 220-5408
Mailing address
16159 MYRIAD LN, FORT MYERS, FL 33908-3483
(239) 220-5408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25994
FL
Other
Enumeration date
06/18/2021
Last updated
08/28/2021
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