| NPI | 1437761871 |
|---|---|
| Former Name | AMANDA GHAFFARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 110964) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN25189) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-12-18 |