Individual
MRS. AMANDA N MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21001 DALAMAN AVE, LAKEWOOD, CA 90715
(562) 209-2189
Mailing address
21001 DALAMAN AVE, LAKEWOOD, CA 90715-2111
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28321
CA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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