Individual
DR. JONATHAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-0002
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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