Individual
TERRY M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9714 3RD AVE NE, SUITE 204, SEATTLE, WA 98115-2046
(206) 523-1834
(206) 523-3846
Mailing address
9714 3RD AVE NE, SUITE 204, SEATTLE, WA 98115
(206) 523-1834
(206) 523-3846
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE00004140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5541008
—
WA
Enumeration date
02/15/2007
Last updated
07/08/2007
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