Individual
AMANDA MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1600 N MISSOURI AVE, MARCELINE, MO 64658-1012
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2017016411
MO
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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