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Organization
KENNETH D THOMPSON DDS INC
Active
Organization
KENNETH D THOMPSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D THOMPSON D.D.S. (PRESIDENT)
(209) 545-4760
Entity
Organization
Contact information
Practice address
4213 DALE RD, STE. 5, MODESTO, CA 95356-8505
(209) 545-4760
(209) 545-2166
Mailing address
4213 DALE RD, STE. 5, MODESTO, CA 95356-8505
(209) 545-4760
(209) 545-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47812
CA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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