AMANDA PRENTICE

CHICAGO, IL
NPI1770052151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  018002085)
Enumeration Date2018-11-15
Last Update Date2018-11-15
Business Address
AMANDA PRENTICE
820 S DAMEN AVE FL 4
CHICAGO, IL 60612-3728
Phone number: 312-569-6669
Mailing Address
AMANDA PRENTICE
1104 W MADISON ST APT 3N
CHICAGO, IL 60607-2029
Phone number: