Individual
DR. ROGER W. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 N RIVERSIDE AVE, ST CLAIR, MI 48079-5491
(810) 329-2289
Mailing address
201 N RIVERSIDE AVE, ST CLAIR, MI 48079-5491
(810) 329-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10578
MI
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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