Individual
THANA DAWN BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
4041 N CENTRAL AVE, BLDG. C, PHOENIX, AZ 85012-3330
(602) 279-5262
(602) 263-0452
Mailing address
4041 N CENTRAL AVE, BLDG. C, PHOENIX, AZ 85012-3330
(602) 279-5262
(602) 263-0452
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
00087
AZ
124Q00000X
Dental Hygienist
Primary
H06758
AZ
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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