Individual
DR. LISA VALDENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1450 MERCANTILE LN, SUITE 207A, LARGO, MD 20774-5376
(240) 455-7484
(240) 455-7476
Mailing address
1450 MERCANTILE LN, SUITE 207A, LARGO, MD 20774-5376
(240) 455-7484
(240) 455-7476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13668
MD
Other
Enumeration date
01/12/2007
Last updated
03/09/2009
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