# KRISTI THOMAS, DDS, MCHC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811358831
- **Authorized official:** DR. KRISTI THOMAS DDS (GENERAL DENTAL DIRECTOR)
- **Authorized official phone:** (313) 263-4332

## Contact information

- **Practice address:** 6900 E 10 MILE RD, CENTER LINE, MI 48015-1168
- **Practice address phone:** (586) 467-0981
- **Practice address fax:** (586) 467-0985
- **Mailing address:** 7310 WOODWARD AVE STE 400, STE 400, DETROIT, MI 48202-3165
- **Mailing address phone:** (313) 576-2557
- **Mailing address fax:** (313) 263-4332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017876 | MI | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016
