Individual
DR. AMANDA BOODHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4333 W BAY TO BAY BLVD, TAMPA, FL 33629-6606
(813) 257-9513
Mailing address
4333 W BAY TO BAY BLVD, TAMPA, FL 33629-6606
(813) 257-9513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23246
FL
1223G0001X
General Practice Dentistry
16196
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
07/26/2022
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