Individual
DR. AMANDA REIKO NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7101 HOFF STREET, HQS, USA DENTAC, ATTN: CREDENTIALS OFFICE, FORT BENNING, GA 31905
(706) 544-4530
(706) 554-1933
Mailing address
7101 HOFF STREET, HQS, USA DENTAC, ATTN: CREDENTIALS OFFICE, FORT BENNING, GA 31905
(706) 544-4530
(706) 554-1933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21835
TX
Other
Enumeration date
04/04/2006
Last updated
07/07/2009
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