Individual
AMANDA JEAN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10252 W ADAMS AVE STE 101, TEMPLE, TX 76502-5849
(254) 206-3200
Mailing address
10252 W ADAMS AVE STE 101, TEMPLE, TX 76502-5849
(210) 567-3672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39980
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2023
Last updated
10/14/2024
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