Pimporn Subudom, DENTAL HYGIENIST

NPI #1508588021 in Fort Bliss, Texas

Provider Information

NPI Number: 1508588021
Entity Type: Individual
Name: Pimporn Subudom, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Sep 12, 2022
Last Updated: Sep 12, 2022

Practice Location

Address: 18511 HIGHLANDER MEDICS ST # 225
City: Fort Bliss
State: Texas
ZIP Code: 79906-5327
Phone: (810) 623-2972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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