Individual
DR. AMANDA PUUSTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6216 E SLIGH AVE, TAMPA, FL 33617-9105
(813) 397-5300
(813) 738-9006
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 397-5300
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN26953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN26953
MEDICAL LICENSE
FL
Enumeration date
08/05/2022
Last updated
09/22/2023
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