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Organization
DENTAL TRANSFORMATIONS LLC
Active
Organization
DENTAL TRANSFORMATIONS LLC
Active
Other names
Dental Transformations, Dental Transformation
Organization subpart
No
Provider details
NPI number
Authorized official
KALEB THOMPSON DMD (OWNER)
(252) 335-4341
Entity
Organization
Contact information
Practice address
3280 W 3500 S STE 3, WEST VALLEY, UT 84119-2688
(252) 335-4341
Mailing address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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