| NPI | 1447660162 |
|---|---|
| Former Name | AMANDA STEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN28679) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30026453) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2025-12-02 |