Individual
AMANDA MORADA EFFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8110 BIRMINGHAM WAY BLDG 282ND, SAN DIEGO, CA 92123-2758
(619) 662-4100
Mailing address
5080 CAMINO DEL ARROYO APT 358, SAN DIEGO, CA 92108-3171
(813) 992-2515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
108744
CA
1223P0221X
Pediatric Dentistry
Primary
108744
CA
Other
Enumeration date
02/18/2021
Last updated
07/12/2023
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