Individual
TAMIKA MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
520 POPE AVE, US ARMY DENTAL ACTIVITY, FORT LEAVENWORTH, KS 66027-2332
(913) 758-3803
Mailing address
520 POPE AVE, US ARMY DENTAL ACTIVITY, FORT LEAVENWORTH, KS 66027-2332
(913) 758-3803
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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