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NPI Code Detail

MEDICARE: KEIKO THORNTON

MEDICARE: KEIKO THORNTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistH1710OR

General Provider Information

NPI Number : 1922463868
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIKO THORNTON
Provider Business Mailing Address
First Line : 501 E 7TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-2677
Country : US
Telephone Number : 541-298-4411
Fax Number :
Provider Business Practice Location Address
First Line : 501 E 7TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-2677
Country : US
Telephone Number : 541-298-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2015
Last Update Date : 12/18/2015

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Directions to “ KEIKO THORNTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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