Letrisha A. Thomas Dds., P.c. | |
2600 Forum Blvd Suite B2 Columbia MO 65203-6343 | |
(573) 446-3848 | |
Not Available |
Full Name | Letrisha A. Thomas Dds., P.c. |
---|---|
Speciality | Dentist |
Location | 2600 Forum Blvd, Columbia, Missouri |
Authorized Official Name and Position | Letrisha Ann Thomas (PRESIDENT/DIRECTOR) |
Authorized Official Contact | 5734463848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Letrisha A. Thomas Dds., P.c. 2600 Forum Blvd Suite B2 Columbia MO 65203-6343 Ph: (573) 446-3848 | Letrisha A. Thomas Dds., P.c. 2600 Forum Blvd Suite B2 Columbia MO 65203-6343 Ph: (573) 446-3848 |
NPI Number | 1255749388 |
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Provider Enumeration Date | 08/01/2014 |
Last Update Date | 11/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255749388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2010019430 (Missouri) | Primary |
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