Individual
LAURA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 B VETERANS BLVD, PUEBLO OF ACOMA, NM 87034-0130
(505) 552-5303
Mailing address
80 B VETERANS BLVD, PUEBLO OF ACOMA, NM 87034-0130
(505) 552-5303
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H05830
AZ
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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