MISS Mary Amanda Thompson, CDA

NPI #1306961263 in St Louis, Missouri

Provider Information

NPI Number: 1306961263
Entity Type: Individual
Name: MISS Mary Amanda Thompson, CDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: CDA
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 189 BAKER AVE
City: St Louis
State: Missouri
ZIP Code: 63119
Phone: (314) 961-1160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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