Individual
LINDA JANE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 LECOM WAY, DEFUNIAK SPRINGS, FL 32435-6323
(850) 951-0020
Mailing address
420 OAK PL, CRESTVIEW, FL 32539-8387
(609) 471-8592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-028812-L
PA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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