Individual
PIMPORN SUBUDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
18511 HIGHLANDER MEDICS ST # 225, FORT BLISS, TX 79906-5327
(810) 623-2972
Mailing address
18511 HIGHLANDER MEDICS ST # 225, FORT BLISS, TX 79906-5327
(810) 623-2972
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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