Individual
DR. AMANDA JONES THEODORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 745-4300
Mailing address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN10001016
DC
122300000X
Dentist
DN1855203
MA
Other
Enumeration date
10/05/2009
Last updated
09/11/2022
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