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1710327556
AMANDA SARA BOUSTANY
CHARLESTON, WV
NPI
1710327556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: WV 4180)
Enumeration Date
2013-06-25
Last Update Date
2017-01-05
Business Address
Dr. AMANDA SARA BOUSTANY D.D.S., M.S.D.
405 CAPITOL ST SUITE 914
CHARLESTON, WV 25301-1749
Phone number: 304-345-1248
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Mailing Address
Dr. AMANDA SARA BOUSTANY D.D.S., M.S.D.
405 CAPITOL ST SUITE 914
CHARLESTON, WV 25301-1749
Phone number: 304-345-1248
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