Individual
DR. AMANDA BEAUCHAMP PILLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2096 FORD PKWY, SAINT PAUL, MN 55116-1813
(651) 237-9913
Mailing address
400 MARQUETTE AVE APT 2005, MINNEAPOLIS, MN 55401-2922
(366) 692-5964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14455
MN
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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