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Individual
PARKER LEIGH THOMPSON
Active
Individual
PARKER LEIGH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59095445
BLUE CROSS BLUE SHIELD
AL
01
—
63970
BLUE CROSS BLUE SHIELD
FL
01
—
869834
UNITED CONCORDIA INS CO
—
Enumeration date
06/27/2006
Last updated
07/08/2007
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