Individual
AMANDA KATE DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 ELIZABETH AVE STE 3, SOMERSET, NJ 08873-1219
(732) 357-1979
Mailing address
215 ELM RD, PRINCETON, NJ 08540-2505
(201) 873-1817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02871400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2021
Last updated
06/29/2025
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