Individual
BARBARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6015 W FOREST HOME AVE STOP 1, MILWAUKEE, WI 53220-1992
(414) 604-2055
Mailing address
6015 W FOREST HOME AVE STOP 1, MILWAUKEE, WI 53220-1992
(414) 604-2055
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4316-16
WI
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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