Organization
A L THOMPSON DMD PC & ASSOC.
Active
Other names
Banks TenderCare
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L THOMPSON D.M.D (DENTIST/MANAGER)
(503) 747-3409
Entity
Organization
Contact information
Practice address
664 S MAIN ST, BANKS, OR 97106-9042
(503) 747-3409
(503) 352-4147
Mailing address
664 S MAIN ST, BANKS, OR 97106-9042
(503) 747-3409
(503) 352-4147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7612
OR
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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