Individual
DR. THOMAS L DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
228 W 1ST ST, PORT ANGELES, WA 98362-2639
(360) 452-4726
(360) 457-4331
Mailing address
228 W 1ST ST, PORT ANGELES, WA 98362-2639
(360) 452-4726
(360) 457-4331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5052618
—
WA
Enumeration date
05/16/2007
Last updated
07/08/2007
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