Individual
DR. ALEX MA THOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3120 EDMONTON DR, SUITE #400, SUN PRAIRIE, WI 53590-4593
(608) 837-3949
Mailing address
3120 EDMONTON DR, SUITE #400, SUN PRAIRIE, WI 53590-4593
(608) 837-3949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5630-15
WI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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