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Individual

DR. BRYAN MCGUIGAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5108 N CLINTON ST, FORT WAYNE, IN 46825-5720
(260) 482-1551
(260) 484-4537
Mailing address
5108 N CLINTON ST, FORT WAYNE, IN 46825-5720
(260) 482-1551
(260) 484-4537

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
00203595
CO
1223G0001X
General Practice Dentistry
Primary
12013073A
IN

Other

Enumeration date
07/05/2018
Last updated
02/15/2021
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