Individual
MISTY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 N 28TH ST APT 212, PHOENIX, AZ 85016-6832
(623) 999-5643
Mailing address
3851 N 28TH ST APT 212, PHOENIX, AZ 85016-6832
(623) 999-5643
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
07/17/2023
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