Individual
DR. AMANDA LEE TAVOULARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19505 76TH AVE W, STE 100, LYNNWOOD, WA 98036
(425) 775-3613
(425) 670-8966
Mailing address
19505 76TH AVE W, STE 100, LYNNWOOD, WA 98036
(425) 775-3613
(425) 670-8966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7460
WA
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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