Organization
AMANDA DELWICHE, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA DELWICHE DDS (PRESIDENT)
(415) 307-0493
Entity
Organization
Contact information
Practice address
4773 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 526-6165
Mailing address
4773 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 526-6165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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