Individual
AMANDA NICOLE VAGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10820 SW 127TH ST, MIAMI, FL 33176-4647
(305) 904-0024
Mailing address
10820 SW 127TH ST, MIAMI, FL 33176-4647
(305) 904-0024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26221
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/21/2021
Last updated
07/14/2021
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