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Individual

ANDREA SMITH HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL ASSISTANT

Contact information

Practice address
9089 LANGFORD LAKE RD, FORT IRWIN, CA 92310-2316
(808) 218-9947
Mailing address
9089 LANGFORD LAKE RD, FORT IRWIN, CA 92310-2316

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
10/26/2017
Last updated
12/21/2018
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