Organization
MICHAEL R THOMAS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R THOMAS DDS (DENTIST/OWNER)
(507) 532-3353
Entity
Organization
Contact information
Practice address
1511 CARLSON ST., MARSHALL, MN 56258-2626
(507) 532-3353
(507) 532-3485
Mailing address
1511 CARLSON ST., MARSHALL, MN 56258-2626
(507) 532-3353
(507) 532-3485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83422900
—
MN
Enumeration date
08/13/2009
Last updated
09/29/2020
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