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Individual

DR. AMANDA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MPH

Contact information

Practice address
1 TRAFALGAR SQ STE 103, NASHUA, NH 03063-1998
(603) 880-3000
Mailing address
1 TRAFALGAR SQ STE 103, NASHUA, NH 03063-1998
(603) 880-3000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04055
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04055
NH DENTAL LICENSE NUMBER
NH
Enumeration date
06/18/2014
Last updated
12/20/2020
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