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Individual

MRS. AMANDA L THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1932 LAUREL ROAD STE. 1A, VESTAVIA, AL 35216
(205) 823-6776
(205) 823-6076
Mailing address
1932 LAUREL RD STE 1A, VESTAVIA, AL 35216-1939
(205) 823-6776
(205) 823-6076

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4942
AL

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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