| NPI | 1255744926 |
|---|---|
| Former Name | AMANDA ASHLEY STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MA DN1856563) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DN1856563) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-11-02 |