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Individual

DR. AMANDA CAMPBELL MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
8500 SW 92ND ST STE 103, MIAMI, FL 33156-7379
(305) 271-0861
Mailing address
1032 SAN LUIS REY, WESTON, FL 33326-2904
(573) 620-7024

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11821815-9922
UT
1223G0001X
General Practice Dentistry
Primary
DN25674
FL

Other

Enumeration date
07/21/2020
Last updated
03/25/2021
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