Individual
AMANDA EDEN PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
485 MAIN ST, SACO, ME 04072-1529
(207) 590-9560
Mailing address
485 MAIN ST, SACO, ME 04072-1529
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN5012
ME
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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