Individual
ANITA M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11949 CENTRAL AVENUE NE, BLAINE, MN 55434-3911
(763) 757-8253
(763) 757-5733
Mailing address
11949 CENTRAL AVENUE NE, BLAINE, MN 55434-3911
(763) 757-8253
(763) 757-5733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9635
MN
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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