AFSHA AMDANI
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1932809191- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1411 W LANE RD STE B, MACHESNEY PARK, IL, 611151661
- Phone
- (708) 345-6400
Specialties & Taxonomies
Dentist, General Practice
Primary License: IL #019.034013