Individual
DR. ANDRE AMARANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2424 MAIN ST, EVANSTON, IL 60202
(224) 999-1224
(224) 296-1224
Mailing address
2424 MAIN ST, EVANSTON, IL 60202-1548
(224) 999-1224
(224) 296-2242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029976
IL
1223G0001X
General Practice Dentistry
Primary
019029976
IL
1223G0001X
General Practice Dentistry
12012210A
IN
Other
Enumeration date
08/06/2014
Last updated
11/24/2019
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