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Individual
MR. CURTIS THOMAS JR.
Active
Individual
MR. CURTIS THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015814
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770666364
CHAMPS
MI
01
—
2902015814
DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
11/21/2015
Last updated
11/21/2015
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