Individual
AFSHA AMDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W LANE RD STE B, MACHESNEY PARK, IL 61115-1661
(708) 345-6400
Mailing address
5210 CLARO DR, MANCHESTER, CT 06042-7322
(203) 945-7939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034013
IL
Other
Enumeration date
03/07/2023
Last updated
04/18/2023
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