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Individual

AMANDA ELSPETH DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1105 12TH ST SE, SALEM, OR 97302-2810
(503) 363-5865
Mailing address
11102 SE CAUSEY CIR, HAPPY VALLEY, OR 97086-4709
(615) 497-9846

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.029546
IL
122300000X
Dentist
D9963
OR
1223P0221X
Pediatric Dentistry
Primary
D9963
OR

Other

Enumeration date
03/20/2011
Last updated
05/06/2016
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