Individual
MS. SIERRA BROOKE AMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
800 MORNING STAR DR, SONORA, CA 95370-9260
(209) 588-8400
(209) 588-8811
Mailing address
800 MORNING STAR DR, SONORA, CA 95370-9260
(209) 588-8400
(209) 588-8811
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
89454
CA
Other
Enumeration date
03/06/2012
Last updated
08/18/2016
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