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Organization

LETRISHA A. THOMAS DDS., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LETRISHA ANN THOMAS DDS (PRESIDENT/DIRECTOR)
(573) 446-3848
Entity
Organization

Contact information

Practice address
2600 FORUM BLVD, SUITE B2, COLUMBIA, MO 65203-6343
(573) 446-3848
Mailing address
2600 FORUM BLVD, SUITE B2, COLUMBIA, MO 65203-6343
(573) 446-3848

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010019430
MO

Other

Enumeration date
08/01/2014
Last updated
11/05/2014
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