Individual
LAVERNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4033 SILVER HILL RD, SUITLAND, MD 20746-2700
(301) 899-2500
Mailing address
7701 DON DR, CLINTON, MD 20735-1919
(202) 412-2045
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HYG1000685
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6285
MD DENTAL HYGIENE
—
Enumeration date
09/06/2018
Last updated
09/06/2018
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