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Individual

AMANDA VALERIE MAITINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
32241 CROWN VALLEY PKWY STE 240, DANA POINT, CA 92629-3347
(949) 493-3333
Mailing address
176 MATISSE CIR, ALISO VIEJO, CA 92656-3868

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105688
CA
1223G0001X
General Practice Dentistry
105688
CA

Other

Enumeration date
10/14/2020
Last updated
09/12/2023
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