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Organization
KALEB C. THOMPSON, DMD, PA
Active
Organization
KALEB C. THOMPSON, DMD, PA
Active
Other names
Dental Transformations
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE HASLAM (PRACTICE ADMINISTRATOR)
(252) 335-4341
Entity
Organization
Contact information
Practice address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Mailing address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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