| Street | 379 Smithfield Ave | ||
| City/Town | Pawtucket | ||
| State/Province/Region | Rhode Island | ||
| Zip/Postal Code | 02860 | ||
| Phone Number | (401) 722-7272 | ||
| Country | United States |
| Full Name | Prof. Amani Ferry DDS | ||
| Gender | male | ||
| Birthday | 1984-01-23 | ||
| Social Security Number | 027-92-0131 |
| Credit card brand | Diners Club | ||
| Credit card number | 3633039134202974 | ||
| Expire | 2031/5 | ||
| CVV | 865 |