Individual
DR. AMANDA NGHI TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
569 N US HIGHWAY 287, LAFAYETTE, CO 80026-8954
(303) 218-5553
Mailing address
569 N US HIGHWAY 287, LAFAYETTE, CO 80026-8954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205876
CO
Other
Enumeration date
04/19/2021
Last updated
12/02/2024
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