DR. Mario Amidi, DMD

NPI #1043863061 in Compton, California

Provider Information

NPI Number: 1043863061
Entity Type: Individual
Name: DR. Mario Amidi, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 18, 2019
Last Updated: Aug 9, 2019

Practice Location

Address: 821 W ROSECRANS AVE STE A&B
City: Compton
State: California
ZIP Code: 90222-3821
Phone: (312) 274-4524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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