Individual
AMANDA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
13402 S 88TH AVE, ORLAND PARK, IL 60462-1416
(708) 420-3771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
018.002257
IL
Other
Enumeration date
03/22/2023
Last updated
10/07/2023
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