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Individual

MRS. SHERIDA R. THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DENTAL HYGIENIST

Contact information

Practice address
1061 HARMON AVE, ATTN: CREDENTIALS OFFICE,US ARMY DENTAL HEALTH ACTIVITY, FORT STEWART, GA 31314-5641
(912) 435-7006
(912) 435-7042
Mailing address
1061 HARMON AVE, US ARMY DENTAL HEALTH ACTIVITY, FORT STEWART, GA 31314-5641
(912) 435-7006
(912) 435-7042

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH011640
GA

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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