Brenna Kathryn Amundson Valid NPI
Individual provider · Dentist · Apo, AP
- NPI
- 1558110668
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D12041 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-05-13
- Last updated
- 2025-07-31
Practice location
18th Medical Group, Unit 5268
Apo, AP 96368-5142
(315) 630-4817