Organization
KENNETH D. THOMAS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI THOMAS (OFFICE MANAGER)
(248) 892-0001
Entity
Organization
Contact information
Practice address
6080 DIXIE HWY STE A, CLARKSTON, MI 48346-3493
(248) 623-4990
Mailing address
6080 DIXIE HWY STE A, CLARKSTON, MI 48346-3493
(248) 623-4990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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