Individual
AMY VINODKUMAR MANDALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PEACHTREE ST NE, SUITE 100A, ATLANTA, GA 30309-5900
(678) 321-1888
(678) 321-1777
Mailing address
900 PEACHTREE ST NE, SUITE 100A, ATLANTA, GA 30309-5900
(678) 321-1888
(678) 321-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014024
GA
122300000X
Dentist
DS037986
PA
Other
Enumeration date
04/29/2010
Last updated
12/11/2013
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