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Individual

AMANDA GOLSHIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 BIDDLE AVE STE 204, NEWARK, DE 19702-3972
(302) 428-4850
Mailing address
300 BIDDLE AVE STE 204, NEWARK, DE 19702-3972

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G0001400
DE
1223G0001X
General Practice Dentistry
G1-0001400
DE

Other

Enumeration date
04/24/2016
Last updated
12/02/2024
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