Individual
AMY JO WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BASDH
Contact information
Practice address
2519 KRUEGER LN, TAMPA, FL 33618-3201
(813) 770-2963
Mailing address
2519 KRUEGER LN, TAMPA, FL 33618-3201
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH21176
FL
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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