Individual
AMANDA MARIE KAPETANAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
580 WOODBURY DR STE 300, WOODBURY, MN 55125-4949
(651) 731-1010
Mailing address
580 WOODBURY DR STE 300, WOODBURY, MN 55125-4949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14918
MN
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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