Individual
DR. AMANDA BLOOD KOPACZ PEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
95 TREMONT ST, SUITE 18, DUXBURY, MA 02332-4738
(781) 526-9026
Mailing address
95 TREMONT ST, SUITE 18, DUXBURY, MA 02332-4738
(781) 526-9026
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1855349
MA
Other
Enumeration date
07/01/2008
Last updated
07/20/2010
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