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Organization
DAMON B THOMPSON DDS PC
Active
Organization
DAMON B THOMPSON DDS PC
Active
Other names
Real Life Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON B. THOMPSON DDS, PC (DENTIST)
(540) 552-5433
Entity
Organization
Contact information
Practice address
202 S MAIN ST, SUITE 101, BLACKSBURG, VA 24060-4880
(540) 552-5433
(540) 552-2273
Mailing address
202 S MAIN ST, SUITE 101, BLACKSBURG, VA 24060-4880
(540) 552-5433
(540) 552-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8616
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178608
—
VA
Enumeration date
02/23/2010
Last updated
05/06/2016
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