Individual
FREDERICK D THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
308 E PARK ST, AUBURNDALE, FL 33823-3411
(863) 967-7548
Mailing address
308 E PARK ST, AUBURNDALE, FL 33823-3411
(863) 967-7548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8413
FL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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