BRENNA KATHRYN AMUNDSON
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1558110668- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 18TH MEDICAL GROUP UNIT 5268, APO, AP, 963685142
- Phone
- (315) 630-4817
Specialties & Taxonomies
Dentist
Primary License: OR #D12041