Organization
LISA V. THOMPSON, DDS, LLC
Active
Other names
LVT Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA VALDENE THOMPSON DDS (CEO, OWNER)
(240) 455-7484
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN, SUITE 207A, LARGO, MD 20774-5376
(204) 455-7484
(240) 455-7476
Mailing address
1450 MERCANTILE LN, SUITE 207A, LARGO, MD 20774-5376
(204) 455-7484
(240) 455-7476
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13668
MD
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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