Individual
DR. AMANDA LACERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11230 SORRENTO VALLEY RD STE 130, SAN DIEGO, CA 92121-1338
(858) 682-2921
Mailing address
1440 COLUMBIA ST APT 1403, SAN DIEGO, CA 92101-3475
(619) 510-9895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS107558
CA
1223G0001X
General Practice Dentistry
DDS107558
CA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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