Individual
EDDIE M. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7631
Mailing address
3750 CHEMAWA ROAD NE, SALEM, OR 97305
(503) 304-7631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 11716
FL
Other
Enumeration date
05/18/2007
Last updated
07/21/2022
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