Individual
DR. ALICIA M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6251
(614) 645-7080
Mailing address
PO BOX 16370, COLUMBUS, OH 43216-6370
(614) 645-5500
(614) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079440
—
OH
01
—
12564514
CAQH
OH
Enumeration date
07/04/2012
Last updated
07/23/2013
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