Individual
DR. AMANDA PEARL LAVORINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
363 15TH ST, OAKLAND, CA 94612-3303
(510) 444-4334
(510) 763-8326
Mailing address
559 VALLE VISTA AVE, OAKLAND, CA 94610-1908
(415) 608-9801
(510) 763-8326
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52881
CA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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