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Individual

ANDREW AMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 673-6511
Mailing address
8264 ROYAL GORGE DR, SAN DIEGO, CA 92119-1140
(619) 229-0256

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D11652
OR
122300000X
Dentist
Primary
XXXXXXX
CA

Other

Enumeration date
05/17/2021
Last updated
05/10/2024
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