Individual
AMANDA VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E 25TH ST, HIALEAH, FL 33013
(305) 694-5400
Mailing address
2775 NE 187TH ST, PH 29, AVENTURA, FL 33180
(754) 715-5303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DRPM2405
FL
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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