NPI 1497980353

Bonnie Sue Thrasher

Practitioner Dental Hygienist Pagosa Springs, CO

Practice location

Address: 119 Dayspring Pl, Pagosa Springs, CO 81147-9140
Phone: (970) 731-3393
Mailing address: PO Box 5948, Pagosa Springs, CO 81147-5948

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 902868 (CO)

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Registry record

NPI: 1497980353
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2009
Record last updated: 21 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.