| NPI | 1366644726 |
|---|---|
| Other Name | AMANDA HOGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OK 82) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OK 5974) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2025-04-21 |