Individual
MRS. AMANDA LYNN SCHOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
606 FISHER ST, KEESLER AFB, MS 39534-2513
(228) 376-0511
Mailing address
606 FISHER ST, KEESLER AFB, MS 39534-2513
(228) 376-0511
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3452-04DH
MS
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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