Individual
DR. AMANDA MARIE SANDIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
563 COLONIAL DR, BATON ROUGE, LA 70806-6553
(225) 275-0123
Mailing address
18444 RED OAK DR, PRAIRIEVILLE, LA 70769-3756
(222) 270-8944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6669
LA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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