Individual
DR. JOHN W. THANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
414 HAZEL ST, TEXARKANA, AR 71854-5215
(870) 772-9681
Mailing address
414 HAZEL ST, TEXARKANA, AR 71854-5215
(870) 772-9681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1997
AR
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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