Amanda Thaxton

NPI #1053855643 in Sturgis, Michigan

Provider Information

NPI Number: 1053855643
Entity Type: Individual
Name: Amanda Thaxton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Dec 15, 2016
Last Updated: Dec 15, 2016

Practice Location

Address: 1525 E CHICAGO RD
City: Sturgis
State: Michigan
ZIP Code: 49091-1991
Phone: (269) 651-7760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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