Individual
DR. JAMES MICHAEL THOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10510 GRAVELLY LAKE DRIVE, COMMUNITY HEALTH CARE - LAKEWOOD DENTAL, LAKEWOOD, WA 98499
(253) 589-7188
(253) 284-4384
Mailing address
101 E. 26TH STREET, TACOMA, WA 98421
(253) 722-1540
(253) 722-1546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7383
WA
1223G0001X
General Practice Dentistry
Primary
DE 00007383
WA
Other
Enumeration date
12/15/2006
Last updated
07/08/2011
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