Individual provider · NPI-1

Dr. Louis James Amendola, D.D.S.

Dentist, General Practice · Orange, CA

NPI number1003963406
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1003963406
Entity type
Individual (NPI-1)
Name
Dr. Louis James Amendola
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 5, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice29547CAYes

Practice location

530 S Main St
Orange, CA 92868-4525

Phone 714-571-3603

Mailing address

121 Park View Dr
Fullerton, CA 92835-3532

Phone 714-571-3603

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