Organization
KALEB C. THOMPSON, DMD, PA
Active
Other names
Dental Transformations
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE HASLAM (PRACTICE ADMINISTRATOR)
(252) 335-4341
Entity
Organization
Contact information
Practice address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
(252) 335-4341
Mailing address
408 E COLONIAL AVE, ELIZABETH CITY, NC 27909-4363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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