Individual
DR. AMANDA MALAYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4458 JONESBORO RD, FOREST PARK, GA 30297-4314
(678) 904-6484
Mailing address
5044 BRENDLYNN DR, SUWANEE, GA 30024-7656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013426
GA
Other
Enumeration date
10/31/2006
Last updated
07/09/2007
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