Organization
RANDALL A THOMPSON DDS PS
Active
Other names
Camano Island Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDELL ARTHUR THOMPSON DDS (PRESIDENT CHAIRMAN OF THE BOARD)
(360) 629-4097
Entity
Organization
Contact information
Practice address
810 REKDAL RD, CARMANO ISLAND, WA 98282
(360) 629-4097
(360) 629-3906
Mailing address
810 REKDAL RD, CARMANO ISLAND, WA 98282
(360) 629-4097
(360) 629-3906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004408
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5030911
DSHS
WA
Enumeration date
12/04/2006
Last updated
08/22/2020
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