Individual
AMBER MOORE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 UNIVERSITY CIR RM 420, BDC MONTEREY, NPS, MONTEREY, CA 93943-5098
(719) 375-4162
Mailing address
1148 MACIAS CT, SAN JOSE, CA 95120-4247
(719) 375-4162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46501
CA
Other
Enumeration date
05/11/2006
Last updated
08/01/2011
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