Individual
TRISHA LORAY THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 970-1937
(574) 970-1939
Mailing address
54700 THRASH LN, ELKHART, IN 46514-7946
(574) 206-5180
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13007497A
IN
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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