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Organization
THOMPSON MAINSTAY LLC
Active
Organization
THOMPSON MAINSTAY LLC
Active
Other names
Green Tree Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED MICHAEL THOMPSON DMD (MEMBER)
(503) 351-9043
Entity
Organization
Contact information
Practice address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Mailing address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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